Inspection on 05/01/06 for Heathside

This inspection was carried out on 5th January 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

Heathside 20/02/07

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 5th January 2006 09:30 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 Heathside DS0000027013.V275425.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. Heathside DS0000027013.V275425.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Heathside Address Honiton Way Penketh Warrington Cheshire WA5 2EY 01925 722109 01925 721664 benita@wqorcs.org.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) 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.V275425.R01.S.doc Version 5.1 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 29th July 2005 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 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 DS0000027013.V275425.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 5 January 2006. The home manager was on duty together with the agreed numbers of senior, care and ancillary staff. During the visit five residents, four visiting relatives, the manager and one of the assistant managers were spoken with. A range of care, health and home records was examined and a tour of the premises was undertaken. Comment cards for use by residents and relatives were handed to the manager during the inspection. Eight resident and one-relative/visitor cards have been returned to the CSCI. Building work to provide a further 25 beds is ongoing, this is due to be finished in May 2006. What the service does well: What has improved since the last inspection? Heathside DS0000027013.V275425.R01.S.doc Version 5.1 Page 6 The facilities within the home are being improved all of the time and since the last inspection visit some new bedroom furniture has been bought. 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 DS0000027013.V275425.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 Heathside DS0000027013.V275425.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): 3 and 6 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 three people living at the home were reviewed. Pre-admission assessments that demonstrated the 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. Intermediate care is not provided at Heathside, residents are generally living in the home on a long- term basis. Heathside DS0000027013.V275425.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): 7, 8, 9 and 10 All residents have a care plan that shows how their individual needs are being met. The current system is in the process of being updated. The procedures for the administration of medicines require improvement. 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. There was written evidence to confirm that care plans were being reviewed regularly. The manager explained that some amendments to the current system were in the process of being implemented. The documents seen confirmed that this was happening. 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 were available. It was evident that the health and well being of residents was carefully and appropriately monitored, and a record of development and actions taken is being kept. Heathside DS0000027013.V275425.R01.S.doc Version 5.1 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. Staff members were observed interacting with them in an appropriate, dignified and respectful way. The home uses a NOMAD system dispensed by a local pharmacist. An inspection of the medication systems showed that there was no signed record made of any medication received into the home. This means that there is an incomplete audit trail for medication within the home. This issue was discussed with the home manager who explained that she was already considering changes to the system and that a potential new supplier had already been contacted. See Requirement No 1. Heathside DS0000027013.V275425.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): 12, 13 and 14 Routines at the home are flexible to suit residents’ individual preferences. 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 spoken with made wholly positive comments during the inspection. One of the relatives said, “I visit at various times and am always made welcome, we are given the key to the small kitchen and told to help ourselves to drinks. The relative comment card received stated that “Excellent care, I feel mum is loved”. The eight resident comment cards received also contain wholly positive comments. Heathside DS0000027013.V275425.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 Policies and procedures are in place to protect residents from abuse. EVIDENCE: 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”. Since the previous inspection a number of staff members have attended an adult protection training course, more staff are due to undertake this in March. Heathside DS0000027013.V275425.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): 19, 20 and 26 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. The home both externally and internally is maintained to a very good standard. Some new bedroom furniture has recently been provided. Building work to provide a further 25 beds is ongoing. This is due to finish in May 2006. The laundry is appropriately equipped and good systems are in place for the care of peoples’ clothes. Heathside DS0000027013.V275425.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 and 30 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. Robust recruitment procedures are in place and the new staff members undertake a thorough induction-training programme. 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. The manager confirmed that the home currently has in excess of 50 of staff members qualified to NVQ level 2. The training records for staff members were seen during the visit. A robust recruitment process was in place for the protection of residents. The staff files inspected contained all of the information required under both the regulations and the relevant standard. New staff members undertake a two-week induction-training programme that is run by Warrington Borough Council. Heathside DS0000027013.V275425.R01.S.doc Version 5.1 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 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,and 35 The home is being well run and managed on a day-to-day basis. The staff members are well trained. 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. The residents and visitors that commented said that she was approachable and supportive. Residents’ personal monies were being kept securely and those inspected had correct balances and accurate records. There was documentary evidence to confirm that staff members were receiving training in areas such as adult protection, mental health, moving and handling, Heathside DS0000027013.V275425.R01.S.doc Version 5.1 Page 16 first aid and fire safety. The staff member spoken with confirmed this. 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 DS0000027013.V275425.R01.S.doc Version 5.1 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 3 X X X X X 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 X X 3 X X X Heathside DS0000027013.V275425.R01.S.doc Version 5.1 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. 1 Standard OP9 Regulation 13 Requirement The registered person must ensure that suitable arrangements for the recording of any medication received into the home are made. Timescale for action 28/02/06 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.V275425.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Northwich Local Office 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. Extracts may not be used or reproduced without the express permission of CSCI Heathside DS0000027013.V275425.R01.S.doc Version 5.1 Page 20 - 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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