Inspection on 25/10/06 for Heathwood Care Home

This inspection was carried out on 25th October 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

Heathwood Care Home 30/05/07

Heathwood Care Home 09/12/05

Heathwood Care Home 20/09/04

Heathwood Care Home 24/02/04

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

CARE HOMES FOR OLDER PEOPLE Heathwood Care Home 9 - 11 Trewartha Park Weston Super Mare North Somerset BS23 2RP Lead Inspector Juanita Glass Unannounced Inspection 09:30 25th October and 22 November 2006 nd 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 Heathwood Care Home DS0000040239.V317062.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. Heathwood Care Home DS0000040239.V317062.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heathwood Care Home Address 9 - 11 Trewartha Park Weston Super Mare North Somerset BS23 2RP 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) 01934 627376 Mr Charles Larkin Mrs Teresa Simone Larkin Mrs Gillian Susan Page Care Home 20 Category(ies) of Dementia (20), Dementia - over 65 years of age registration, with number (20) of places Heathwood Care Home DS0000040239.V317062.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Residents should be ambulant May accommodate one named service user who requires personal care (OP). This condition will be removed when the named individual leaves the home. The fifth new room on the first floor is not to be occupied until a satisfactory completion certificate is received from the Building Control Department. The home must provide a minimum of 4.1 sqm of communal space for each of the 20 service users by 29/03/05. 9th December 2005 4. Date of last inspection Brief Description of the Service: Heathwood Care Home is registered with the CSCI to provide dementia care for up to 20 older people. The home is a converted property situated on the hillside of Weston-superMare approximately 1 mile from the town centre. There is a pleasant front garden and patio area to the rear of the building. Accommodation is offered over three floors. A stair lift provides access to the upper floors. It is a condition of registration that all service users admitted to the home must be ambulant Heathwood Care Home DS0000040239.V317062.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Current fees: unavailable. This inspection took place over two days. A total of eight hours were spent in the home. During this time residents, staff and visitors were spoken to. A review was also carried out of care records, staff personnel files, records maintained in the home and the environment. Comments made by residents praised staff and management. Two ladies spoken to insisted that they wished to make sure it was understood how well Heathwood was run. Another lady, who was under the impression she was staying at a boarding house in Westonsuper-Mare, said she was very impressed and would recommend Heathwood to her friends. The atmosphere in the home was relaxed and cheerful. Residents were observed exercising personal choice, all residents were well dressed and well groomed. One resident said she did not like fussy entertainment but staff understood this and helped her to do something else. This was a very positive inspection and no requirements were made. What the service does well: What has improved since the last inspection? What they could do better: No requirements were made following this inspection. Heathwood Care Home DS0000040239.V317062.R01.S.doc Version 5.2 Page 6 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. Heathwood Care Home DS0000040239.V317062.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 Heathwood Care Home DS0000040239.V317062.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): 2, 3 and 5. 6 does not apply Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admissions are not made to the home until a full needs assessment has been undertaken and the manager has confirmed that they can meet the needs of the individual. Prospective residents are given the opportunity to visit the home. Each resident is provided with a statement of terms and conditions prior to moving into the home. This sets out in detail what is included in the fees and the roles and responsibilities of the provider. EVIDENCE: The manager confirmed that following a referral or enquiry she will carry out a full assessment of the prospective resident’s needs. This can be carried out either in hospital or in their own home, or the prospective resident can visit Heathwood during which time the assessment can be carried out. The Heathwood Care Home DS0000040239.V317062.R01.S.doc Version 5.2 Page 9 preadmission assessment includes psychological needs. During the inspection the manager received a referral and arranged to meet the prospective resident and their relative. All care records reviewed contained clear and concise preadmission assessments. They also contained signed and dated contracts and statements of terms and conditions. Prospective residents are invited to visit the home prior to admission. A relative or representative usually carries this out on their behalf. Heathwood Care Home DS0000040239.V317062.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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Heathwood has a strong ethos of involving residents in all aspects of their life. All residents have a robust care plan, which reflects Person centred care. Staff actively promote residents’ right of access to health and remedial services. The home has a clear medication policy, procedure and practice guidance. Staff have access to written information and understand their role and responsibilities. Residents privacy and dignity is respected when staff are delivering health and personal care, this is a key principle of the homes aims and objectives. EVIDENCE: The care records for six residents were reviewed during this inspection. The records contained very clear guidance for staff. They showed evidence of Person centred care, emphasising where necessary residents’ personal needs and preferences. Staff spoken to showed a clear awareness of individual Heathwood Care Home DS0000040239.V317062.R01.S.doc Version 5.2 Page 11 resident’s needs, as well as the diverse needs of people with dementia or other disabilities. It was noted the care records also contained information about specific health conditions for residents. These were researched from the Internet or received from hospital. This demonstrates good practice and provides staff with information they need to meet the personal needs of individual residents with a better level of understanding. Residents spoken to confirm that staff are eager to assist them in maintaining personal choice. One lady stated I only have to ask and they will help me up to my room for some quiet time. Care records also show that residents were supported in attending health-care appointments. They evidenced appointments with chiropodist, dentist and optician as well as appointments of various clinics. A review of medication records revealed no errors and staff were observed to administer medication within current guidelines. All staff administering medication have received appropriate training. Heathwood Care Home DS0000040239.V317062.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. Sufficient staff resources are provided in the home to allow time for activities and stimulation. Maintaining independence and enabling residents to make their own decisions about how they wish to live is a key objective of the home. Residents enjoy the flexibility of mealtime arrangements; the cook is made aware of the dietary requirements of individual residents. EVIDENCE: Residents take part in a varied programme of activities; these are assessed as suitable to their personal abilities. Residents stated that there was always something to do, whilst one lady said that there was no need to get bored. Records maintained by the home showed that residents took part in regular activities and trips out. Care plans identified personal preferences; these showed that the home enabled residents to maintain contact with their church or peer group. There are no restrictions on visiting within the home and residents can entertain guests in one of the lounges or the privacy of their own room. Meals are now prepared in Heathwoods own kitchen, residents Heathwood Care Home DS0000040239.V317062.R01.S.doc Version 5.2 Page 13 commented on the standard of meals provided. They all said that mealtimes were a pleasant experience and the meals were excellent and well prepared. Lunch was observed to be relaxed and unhurried. The meals were well presented and a variety of fresh vegetables available. The cook was not interviewed during this inspection but residents said staff always knew what they liked or disliked Heathwood Care Home DS0000040239.V317062.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. The home has a clear complaints procedure; which is available within the home. Policies and procedures regarding protection of residents are satisfactory and are reviewed and updated. All staff demonstrate an awareness of the content of the policy. EVIDENCE: The home has a clear and robust complaints policy and procedure, which gives timescales and directs relatives and residents to the Commission for Social Care Inspection. No complaints have been received since the last inspection; the complaints folder was available to read. Residents spoken to said if they wanted to raise concerns they could go to the manager. The policies and procedures for the Protection of Vulnerable Adults and Whistleblowing were very clear and concise. Staff spoken to were aware of the issues surrounding adult protection and knew where they could find guidance in the office. The home also had a copy of the North Somerset inter agency policy and procedure. Heathwood Care Home DS0000040239.V317062.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 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to treat Heathwood as their own home. Heathwood provides a very well maintained, safe comfortable and attractive home. EVIDENCE: Heathwood is a well decorated and well maintained home. The décor, lighting and furnishing is all to a high standard. Residents spoken to said they were not experiencing any disruption to their life during the building alterations being carried out in the home. Residents have a choice of communal areas and private rooms meet the floor space requirements stipulated in the National Minimum Standards. The home maintains a high standard of cleanliness and was free of offensive odours on the day of the inspection. Staff are aware of infection control guidelines of the homes policies and procedures. The Heathwood Care Home DS0000040239.V317062.R01.S.doc Version 5.2 Page 16 manager has contact details to obtain any specialist advice should it be required. Heathwood Care Home DS0000040239.V317062.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. Rotas show that staffing levels and skill mix is appropriate to the needs of the resident group. Staff have all received training relevant to Dementia Care and the resident group within the home. The service has a good recruitment procedure; which supports the protection of vulnerable adults. EVIDENCE: Staffing rotas for the weeks prior to the inspection showed that sufficient numbers of staff were on duty to meet the needs of the current resident group. Residents spoken to said there were always enough staff. Staff confirmed that they did not feel pressurised through staff shortage or lack of knowledge when caring for the resident group in the home. The numbers of staff with NVQ qualifications was not assessed during this inspection. The manager and owners encourage staff to obtain an NVQ and support them in the process. Recruitment records show that all the required checks were being carried out prior to new staff commencing work in the home. Staff spoken to understood their roles and responsibilities within the team. All mandatory training was upto-date. Advertisements were displayed for training events available for staff. Records show that staff had also received training in Dementia Care, Adult Heathwood Care Home DS0000040239.V317062.R01.S.doc Version 5.2 Page 18 Protection and Administration of Medication. Staff are also provided with training in managing the diverse needs of residents with particular disabilities such as diabetes, sight or hearing impairment. Heathwood Care Home DS0000040239.V317062.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 manager is open and approachable and has all the relevant qualifications to run a care home. The home has a clear quality assurance system, which the manager ensures is carried out annually. The home does not handle residents’ personal finances. The home ensures the health and safety of the residents through staff training and clear and concise policies and procedures. EVIDENCE: Staff and residents spoken to said they felt they could approach the manager at any time. The manager was observed to have an open and approachable Heathwood Care Home DS0000040239.V317062.R01.S.doc Version 5.2 Page 20 manner towards both residents and staff throughout the inspection. Surveys received from relatives said they all felt welcomed in the home. The manager carries out an annual quality assurance questionnaire with relatives and those residents able to express an opinion. Relatives are also invited to care reviews and their comments and opinions acted upon. The home does not handle residents’ personal finances. Health and safety in the home was satisfactory. The fire log was reviewed and showed that staff had received fire training updates throughout the year. Fire drills involve both day and night star. All checks had been carried out in line with current guidelines. A full fire risk assessment has been carried out and is available in the fire log file. Service records were all up-to-date and available for inspection. Insurance details were displayed in the home. Generic and working risk assessments have been reviewed. Heathwood Care Home DS0000040239.V317062.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 X 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X 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 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 3 X 3 X X 3 Heathwood Care Home DS0000040239.V317062.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 Heathwood Care Home DS0000040239.V317062.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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. Extracts may not be used or reproduced without the express permission of CSCI Heathwood Care Home DS0000040239.V317062.R01.S.doc Version 5.2 Page 24 - 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. 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