Inspection on 05/09/05 for Heathy House

This inspection was carried out on 5th September 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

Heathy House 08/05/07

Heathy House 06/02/06

Heathy House 02/02/05

Heathy House 26/07/04

Heathy House 10/03/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Heathy House Heathy Lane Holmfield Halifax HX2 9UN Lead Inspector Liz Cuddington Announced 5 September 2005 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. Heathy House J52J01_s35162_Heathy House_v238235_050905.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Heathy House Address Heathy Lane Holmfield Halifax HX2 9UN 01422 245328 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) Calderdale MBC Mrs Barbara Hygate Care home - personal care only 32 Category(ies) of 32 x Older people (over 65 years) registration, with number of places Heathy House J52J01_s35162_Heathy House_v238235_050905.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 2 February 2005 Brief Description of the Service: Heathy House is owned and managed by Calderdale MBC, Health and Social Care Directorate. It is registered to provide care and accommodation for up to thirty-two people over 65 years of age. Permanent and respite care are offered. All the bedrooms are for single occupancy and there are comfortable communal rooms. The establishment was purpose built and is situated in the residential area of Holmfield in Halifax. It is near a bus route and has easy access to the town centre as well as local facilities. Following an extensive refurbishment programme the Rehabilitation Unit, currently based at Glenholme in West Vale, will transfer to a separate part of Heathy House. Heathy House J52J01_s35162_Heathy House_v238235_050905.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a very good inspection with no new requirements or good practice recommendations. Those from the last inspection have all been dealt with satisfactorily except for one requirement that is carried forward from the last report. This concerns making safe those window frames which are rotting and dangerous. The inspection took place during a time of change for the people who live and work at Heathy House. Yet the atmosphere was calm and positive with staff who are changing their roles looking forward to the new challenges. Despite the extensive refurbishment work to one part of the building this was kept separate from the rest of the house and did not appear to have any detrimental effect on the daily life of the people living at Heathy House. I spent time talking with ten of the ladies and gentlemen who live at Heathy House, as well as with one visiting relative and four staff. This is the most important part of the inspection and gives me a valuable insight into what the people who live and work there think and feel about the home. I would like to thank the service users, the staff and the management for their welcome and hospitality during the inspection and for taking the time to talk to me. Thanks also go to the people who took the time to complete the preinspection questionnaires. What the service does well: The plans of care reflect the health and social care needs of the individual and how these needs are to be met. The daily records also show how each service user’s assessed needs have been met. The plans are regularly reviewed and updated. Service users privacy, choice and autonomy are respected and every effort is made to make sure people can live as they wish. I had lunch with some of the service users and staff. The mealtime was unhurried and there was a good choice of food. The portions were plentiful and everyone said how much they enjoyed the meals. The staff are well trained with 65 having achieved an NVQ qualification in care. There is clear leadership and strategies in place to involve service users and staff in decision-making. The people I spoke with appeared to be well informed about what was happening in the home. Heathy House J52J01_s35162_Heathy House_v238235_050905.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. Heathy House J52J01_s35162_Heathy House_v238235_050905.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 Heathy House J52J01_s35162_Heathy House_v238235_050905.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) 1, 3 & 6 The Statement of Purpose includes all the necessary information. The preadmission assessment system now covers people who stay at Heathy House for transitional care. All the preparations are in place for moving the Rehabilitation Unit to the home. EVIDENCE: The home’s Statement of Purpose has been revised to include reference to the provision of transitional beds, including a definition of the term. When the Rehabilitation Unit moves from Glenholme to Heathy House the Statement of Purpose and Service Users Guide will be re-written to reflect all the services and the new staffing structure at Heathy House. The pre-admission assessment process is very thorough and now includes a full assessment of needs for people who are admitted for transitional care. This assessment is the basis for the person’s individual plan of care. At the time of the inspection refurbishment work was being done to part of the building to make it ready for transferring the Rehabilitation Unit to Heathy House. This was expected to be completed early in October 2005. A dedicated Heathy House J52J01_s35162_Heathy House_v238235_050905.doc Version 1.40 Page 9 staff team has been appointed and staff who are new to this work were attending specialist training one day each week, in preparation for their new roles. Heathy House J52J01_s35162_Heathy House_v238235_050905.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 & 10 The plans of care reflect how all the health and care needs of the service users are being assessed and met. They are reviewed and updated regularly. All service users were seen to be treated with respect and dignity. EVIDENCE: A number of personal plans of care were looked at and evidence was seen that they are reviewed regularly and signed by the service user or their representative to show they have agreed to the plan and any changes. The plans for people who live there permanently are reviewed monthly and short stay guests’ plans are reviewed at each visit. The plans showed that newly identified needs are addressed by the staff and how the needs had been met was reflected in the daily records. Risk assessments, moving and handling plans and other records were seen to be up to date and to reflect the needs of the individual. The individual plans also showed that the person’s healthcare needs are being met. Specialist healthcare professionals are involved in making sure that any treatment or equipment, such as pressure relieving mattresses, is available. Heathy House J52J01_s35162_Heathy House_v238235_050905.doc Version 1.40 Page 11 During the inspection I observed that the privacy and dignity of the service users at Heathy House was respected at all times. Any treatment or examination is conducted in private and staff were seen to be friendly and respectful towards all the ladies and gentlemen living at the home. Heathy House J52J01_s35162_Heathy House_v238235_050905.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 & 15 Individual choice is respected and people are supported to maintain their independence. Visitors are welcomed. The meals are attractive and mealtimes are unhurried with any help needed being offered discreetly. EVIDENCE: Talking with service users and staff, and looking at plans of care, confirmed that the people who live at Heathy House make their own choices about how they live and their preferences are respected. Their interests are known and staff try to make sure people are able to continue with their chosen activities. I spoke with one visitor who confirmed that visitors to the home are made welcome. Service users see their visitors in the main lounges or their own rooms. There is a visitors’ lounge upstairs for people to use if they prefer. When people go to stay or live at Heathy House they will, if they wish, take their own personal possessions with them. As long as they feel able to do so service users continue to manage their own financial affairs and, where necessary, the home supports people to do this. During the inspection I ate lunch in one of the small dining rooms with the service users and staff. There was a choice of two dishes for both main course and dessert. The food was very tasty and the service users said they enjoyed Heathy House J52J01_s35162_Heathy House_v238235_050905.doc Version 1.40 Page 13 their meals. The lunchtime was unhurried and any assistance needed was offered discreetly. The plans of care have a section showing the person’s likes and dislikes. Heathy House J52J01_s35162_Heathy House_v238235_050905.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 The complaints procedure meets the required standard. EVIDENCE: As Heathy House is a Local Authority home the complaints are dealt with using the statutory Social Services procedure. Service users said they are aware of how to make a complaint. Heathy House J52J01_s35162_Heathy House_v238235_050905.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20 & 23 The house meets all the environmental standards with the exception of the requirement to replace or repair rotting and unsafe window frames. EVIDENCE: Once the work on the Rehabilitation Unit is complete refurbishment to parts of the main house, including the downstairs toilets, will start. The last report included a requirement that all rotten and dangerous window frames must be repaired or replaced by the end of December 2005. There was no evidence to suggest that this is going to happen. Meanwhile there are windows, including two which reach to the floor, that have rotten and unsafe frames. These two large windows are sited in an area where service users sit. Service users and staff constantly walk past one of the windows. This is a health and safety issue and it is imperative that the Local Authority finds the funds to make the window frames safe, without further delay. There is a sheltered patio area where service users can sit outside during the better weather. The home is comfortably furnished and there is plenty of room for people to move about freely. Heathy House J52J01_s35162_Heathy House_v238235_050905.doc Version 1.40 Page 16 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) 28 & 30 The staff group are well qualified and have a wide range of courses available to them to keep their skills and knowledge levels up to date. EVIDENCE: At the time of the inspection 65 of the care staff had achieved NVQ level 2 in care. All the mandatory training for staff was up to date and all staff have completed infection control and basic first aid courses. Two staff have the full first aid certificate. Training about sensory impairment and tissue viability/skin integrity had been arranged. Heathy House J52J01_s35162_Heathy House_v238235_050905.doc Version 1.40 Page 17 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) 32, 35, 37 & 38 There seems to be adequate consultation between the management, service users and staff about the way the home is run. Confidential records and service users finances are securely stored and accurately maintained. There are strategies in place to ensure service users health and safety. EVIDENCE: Conversations I had with staff confirmed that they are fully aware of the changes which are taking place and have been able to make informed decisions about their future work. Regular service users meetings are held and as soon as all the Rehabilitation Unit staff are in post the manager also plans to start holding staff meetings. When the home assists service users to manage their personal allowances accurate records are kept and there are safe and secure storage facilities available. Heathy House J52J01_s35162_Heathy House_v238235_050905.doc Version 1.40 Page 18 All confidential records are stored securely in accordance with the requirements of the Data Protection Act 1998. Health and Safety implications while the refurbishment work is being done were discussed with the manager. There are strategies in place to ensure the safety and security of service users during this time. There are risk assessments and staff training which cover safe working practices within the home. Heathy House J52J01_s35162_Heathy House_v238235_050905.doc Version 1.40 Page 19 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 3 x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 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 1 3 x x 3 x x x STAFFING Standard No Score 27 x 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x 3 x x 3 x x 3 Heathy House J52J01_s35162_Heathy House_v238235_050905.doc Version 1.40 Page 20 YES 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 OP 19 Regulation 23 Requirement All the window frames which are rotting and unsafe must be replaced. Timescale for action 31/12/05 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. Refer to Standard Good Practice Recommendations Heathy House J52J01_s35162_Heathy House_v238235_050905.doc Version 1.40 Page 21 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Heathy House J52J01_s35162_Heathy House_v238235_050905.doc Version 1.40 Page 22 - 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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