Inspection on 09/12/05 for Heathwood Care Home

This inspection was carried out on 9th December 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Heathwood Care Home 30/05/07

Heathwood Care Home 25/10/06

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 9th December 2005 09:00 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 Heathwood Care Home DS0000040239.V268962.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. Heathwood Care Home DS0000040239.V268962.R01.S.doc Version 5.0 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.V268962.R01.S.doc Version 5.0 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. 13th June 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.V268962.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a very positive unannounced inspection, which took place in the presence of the manager Mrs Page. Residents spoken to were very positive and praised the care they received; a happy and relaxed atmosphere was present in the home during the day. Staff were observed to be polite and respectful and had an obvious rapport with the residents. The home was found be clean and tidy and the communal area that was the subject of an immediate requirement at the last inspection, had been completed and provided residents with a large brightly lit lounge with access to the patio in the warmer weather. All the residents spoken to said they liked the new lounge area. The residents also talked about the standard of the food, which they enjoyed, and the musical entertainment that they were looking forward to enjoying that afternoon. During the inspection it was noted that a requirement that had been made at the last two inspections still have not been met and one further requirement was made. What the service does well: What has improved since the last inspection? Since last inspection the communal area, which was the subject of an immediate requirement, has been completed. Residents commented on the comfort and brightness of the room it was noted that it was clearly a popular room with the residents. Heathwood Care Home DS0000040239.V268962.R01.S.doc Version 5.0 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. Heathwood Care Home DS0000040239.V268962.R01.S.doc Version 5.0 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.V268962.R01.S.doc Version 5.0 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): 1, 3, 4 and 5 6 does not apply Prospective residents and relatives/representatives are provided adequate information to make an informed choice. A full pre admission assessment is carried out prior to admission, and all prospective residents are offered the chance to visit the home. EVIDENCE: The statement of purpose, and service user guide clearly reflects the service provided at Heathwood care home and a copy of each can be provided on request, they have not required reviewing since the last inspection. The manager confirmed that all prospective residents are visited either at home or in hospital and a thorough pre-admission assessment is carried out before offering them a place at Heathwood; records of the most recently admitted resident showed very clear pre-admission assessments. Heathwood Care Home DS0000040239.V268962.R01.S.doc Version 5.0 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 The health and personal care needs of the residents are all well met. The residents are protected by the homes policies and procedures for the administration of medication. Residents are treated with respect and dignity. EVIDENCE: Care records reviewed showed that residents individual needs were considered, they all contained comprehensive assessments with very clear guidance for staff including cultural differences. Specific risk assessments for falls and aggressive behaviour were in place and all records showed evidence of regular review, with resident or relative/representative involvement. The manager confirms that the home has adequate support from the GP and the district nurse; they also have a very good rapport with the mental health team. The residents were very happy to talk about the care they received at the home, although at times they did not realise that they were living at Heathwood. They were very positive about the staff and food. One lady said that she would ‘visit the hotel again as it was the best she had ever stayed in; that the food was excellent and the staff very caring and hard working.’ Another resident said that the ‘girls were hard working and really cared, she felt respected and well cared for.’ Heathwood Care Home DS0000040239.V268962.R01.S.doc Version 5.0 Page 10 Records reviewed showed that staff were aware of individual needs and followed the care plans. Residents had been assisted to attend out patients appointments, the dentist and the opticians all residents had regular visits from a chiropodist. The homes policies and procedures for the ordering, storage and administration of medication is very clear and staff are following the procedures in an appropriate manner. It was noted that a handwritten Mar sheet was not signed this was discussed with the manager as Handwritten MAR sheets must be signed by the person making the entry. Heathwood Care Home DS0000040239.V268962.R01.S.doc Version 5.0 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 and 14 The home provides a programme of meaningful activities. Residents are helped to exercise choice on a daily basis. EVIDENCE: The home maintains an activities record, which shows the range of activities followed by each resident. Activities recorded included trips out, manicure, visiting musician, reminiscence, ball games, hoopla and pet visits. A dog that is a regular visitor to the home is much loved by the residents. One resident spoken to said that she was looking forward to the sing a long in the afternoon and she would probably get up and dance if she had a sherry. Most of the residents attended the sing a long. Those who did not wish to, sat in another lounge, they said they preferred the quiet. Throughout the inspection residents were observed to be making their own choices and being offered a choice by staff. Care records indicate personal preferences and daily records showed that residents enjoyed lie ins if they wished to remain in bed. Heathwood Care Home DS0000040239.V268962.R01.S.doc Version 5.0 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): 16 and 18 The complaints procedure in the home is satisfactory and staff demonstrated a good awareness of adult protection issues. EVIDENCE: Heathwood has a very clear complaints procedure, which is identified in the service user guide, and a copy is displayed in the home, guidelines have been updated since the last inspection to direct a complainant to the correct CSCI address. The home maintains a record of complaints, which shows action taken and the outcome. No complaints have been received since the last inspection. The homes policy and procedure for the protection of vulnerable adults and whistle blowing is very clear and is covered in supervision sessions with staff. Staff spoken to showed an awareness of adult protection issues. Heathwood Care Home DS0000040239.V268962.R01.S.doc Version 5.0 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, 21, 22, 23, 24, 25 and 26 The home is generally well maintained and in good decorative order, with the exception of one identified area. Residents have access to safe and comfortable communal areas and their rooms are adequately furnished. The home has provided adequate toilet and bathing facilities. Specialist equipment is provided when a need is identified. EVIDENCE: During the inspection the home was clean, tidy and showed evidence of maintenance, however it was noted that an area in the second (unused) kitchen area a damp patch had not been repaired despite a requirement being made at the last two inspections. The requirement was repeated and a follow up visit will be made in March to check on the progress. Resident’s rooms were all well furnished and showed evidence of personal processions and furniture. Residents spoken to all liked their rooms. The home Heathwood Care Home DS0000040239.V268962.R01.S.doc Version 5.0 Page 14 has provided adequate toilet and bathing facilities with easy access and adaptations were necessary. Access to all floors is aided by a chair lift which residents were confident to use. Since the last inspection the planned communal area has been completed and residents were observed enjoying the additional space they also now have access to the patio area in the garden in warmer weather. Residents spoken to said they really liked the new lounge area which is spacious and well lit. Heathwood Care Home DS0000040239.V268962.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): 27, 28, 29 and 30 Staffing levels are sufficient to meet the needs of the resident group. Recruitment procedures do not meet current requirements. Staff receive a full induction and training to equip them to work in a dementia care setting. EVIDENCE: 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. The manger confirmed that extra staff could be bought in for trips or identified needs. Staff personnel records reviewed showed that the home has not followed the required procedure for the employment of staff. Records for the most recently employed staff did not contain evidence of POVA 1st confirmations being sought. A POVA first must be obtained before a new member of staff commences work in the home. All new staff receive a full induction and a training programme is maintained, staff personnel records, showed that they had attended all mandatory training and had also attended training specific to dementia care, wound care and NVQ’s in care. Plans for future training identified Adult Abuse, Health and Safety and Reflexology. Heathwood Care Home DS0000040239.V268962.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): 31, 32, 35 36, 37 and 38 The manager demonstrates and open and approachable style of management. The home safe guards residents money. All staff receive a full induction and formal supervision is maintained. The homes record keeping, policies and procedures protect resident’s rights and best interests. Health and safety in the home is satisfactory. EVIDENCE: The manager has achieved the NVQ level 4 In management and demonstrates an open and approachable, staff and residents all said they felt they could talk to the manager and a friendly rapport was observed throughout the day. Heathwood Care Home DS0000040239.V268962.R01.S.doc Version 5.0 Page 17 The home encourages relatives to handle residents finances however they do handle a few ‘pocket money’ accounts on residents behalf, an audit of those handled showed that a robust procedure is followed and no errors were found. All records required by regulation were in place well maintained and up to date. A review of the fire log confirmed that the required tests and checks are carried out, training records showed that staff have attended fire training and manual handling up dates. Health and safety within the home was of a satisfactory level with clear generic risk assessments in place and staff awareness of apparent risks was evident. All service records were up to date. Heathwood Care Home DS0000040239.V268962.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 3 X 3 3 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 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X 3 3 3 3 Heathwood Care Home DS0000040239.V268962.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 OP19 OP29 Regulation 23 (2 b) 19 (4) Requirement Damp problem in the second unused kitchen must be investigated and repaired The home must obtain a POVA 1st confirmation before new staff commence employment. Timescale for action 09/03/06 09/12/05 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 2 Refer to Standard OP9 OP38 Good Practice Recommendations Hand written MAR sheets must be signed by the person making the entry All unexplained injuries need to be recorded on the relevant accident forms and cause investigated. Heathwood Care Home DS0000040239.V268962.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Heathwood Care Home DS0000040239.V268962.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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