Inspection on 06/02/06 for Heathy House

This inspection was carried out on 6th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 05/09/05

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 Unannounced Inspection 6th February 2006 14:15 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 Heathy House DS0000035162.V255517.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. Heathy House DS0000035162.V255517.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Heathy House Address Heathy Lane Holmfield Halifax HX2 9UN 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) 01422 245328 heather.rodgers@calderdale.gov.uk Calderdale MBC Mrs Barbara Hygate Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Heathy House DS0000035162.V255517.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That the responsible person undertakes to ensure staffing levels rise incrementally with the number of service users admitted to the home. Up to ten places may be used for short term/transitional care. Date of last inspection 5th September 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, respite and rehabilitation 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, formerly based at Glenholme in West Vale, has transferred to a separate part of Heathy House. Heathy House DS0000035162.V255517.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a very good inspection with one statutory requirement, carried forward from the last report, and one good practice recommendation being made. During the inspection I had conversations with service users, staff and a visitor. I also examined documentation and the medicine administration systems. Everyone who commented, in both the Rehabilitation Unit and the part of the home where the permanent and respite care residents live, told me how well they are cared for and that the staff are very kind. I would like to thank the service users, staff and management for their warm welcome and hospitality, and for taking the time to talk to me during the inspection. What the service does well: What has improved since the last inspection? The refurbishment of both parts of the home has made a considerable improvement to the facilities and accommodation at Heathy House. Heathy House DS0000035162.V255517.R01.S.doc Version 5.1 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. Heathy House DS0000035162.V255517.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 Heathy House DS0000035162.V255517.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): 6 This is an excellent service with a dedicated team of care and health professionals. The accommodation is suitable for the needs of the people who use the service. EVIDENCE: The Rehabilitation Unit has now completed its transfer from Glenholme in West Vale. A complete section of the building has been refurbished to accommodate this service. There is a dedicated and trained staff team, many of whom worked at Glenholme. Physiotherapists and Occupational Therapists are based on site. There is an assessment kitchen and a separate dining room/kitchen area where people can prepare their own breakfast. The lounge is light and attractive and the whole unit has been beautifully furnished and decorated. The bedrooms, toilets and bathrooms have also been refurbished and any adaptations needed have been fitted. Heathy House DS0000035162.V255517.R01.S.doc Version 5.1 Page 9 The service users who commented were very complimentary about the service offered, the accommodation and the staff who provide their care and support. Heathy House DS0000035162.V255517.R01.S.doc Version 5.1 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 the following standard(s): 9 All the medicines administration systems were found to be accurate and medicines are securely stored. EVIDENCE: I looked at the medication administration systems in both the residential and rehabilitation units. The service users who stay in the Rehabilitation Unit administer their own medication wherever possible. Each person has a lockable cupboard to store medicines and other items. In both units the records in the Medicines Administration Record (MAR) charts were accurately kept and the quantities of medicines were checked and found to be accurate. Any controlled drugs are stored correctly and recorded accurately, in accordance with the Royal Pharmaceutical Society’s guidance. Heathy House DS0000035162.V255517.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): 13 Service users are able to receive their visitors whenever they wish and in private, if they prefer. EVIDENCE: Visitors are welcomed into the home. There is a small lounge for respite and permanent residents to use if they prefer to receive their visitors in private. People staying for rehabilitation also have a small lounge, separate from the main lounge. Some people like to use their own bedrooms when they have visitors. Heathy House DS0000035162.V255517.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 The adult protection and ‘whistle blowing’ policies and procedures are robust. EVIDENCE: As a Social Services’ owned home they follow Social Services’ robust adult protection and ‘whistle blowing’ policies and procedures, if they are needed. Heathy House DS0000035162.V255517.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, 21, 24 & 26 A request for funding to replace the two large windows with poor quality frames has been submitted. The home is well maintained and is undergoing an extensive refurbishment programme. The facilities have been improved and the home is clean and hygienic throughout. EVIDENCE: The manager said that a request has been submitted to Calderdale MBC Building Consultancy for funding to replace the two large windows in the small lounge area next to the door onto the patio. New carpets have been fitted throughout the communal areas of the home. The programme of refurbishment for the rest of the home is underway, now that the Rehabilitation Unit is completed. Toilets and bathrooms in the home have been upgraded with new fittings. They are also much more spacious. Areas which before did not give people complete privacy have been improved. Heathy House DS0000035162.V255517.R01.S.doc Version 5.1 Page 14 As well as those areas of the home already mentioned, the refurbishment programme includes putting new floor covering in some of the bedrooms. All the bedroom doors have locks fitted. The house is clean and hygienically maintained throughout. Disposable wipes, gloves and aprons are available for staff to use, as well as anti-bacterial hand rub, in addition to the other infection control measures practiced in the home. Heathy House DS0000035162.V255517.R01.S.doc Version 5.1 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 & 30 Both parts of the home have sufficient staff on duty to meet the needs of the service users. Staff are well trained and have opportunities to update their knowledge and skills. EVIDENCE: I looked at the staff rotas for both parts of the home. There are sufficient staff on duty at any one time to meet the needs of the people living at the home. At night there are two waking care staff and one senior member of staff sleeping in. There are now 60 of the care staff with a National Vocational Qualification (NVQ) in care. Five more staff members are nearing completion of their NVQ award. All new members of staff undertake suitable induction and foundation training to equip them to carry out their role. There is also a wide range of training available for new and continuing staff to update their skills and knowledge. Heathy House DS0000035162.V255517.R01.S.doc Version 5.1 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): 33 A good range of quality assurance systems is in place. Relatives and visiting professionals could also be included in this process. EVIDENCE: There is a range of quality assurance systems in place. A senior Social Services’ manager visits regularly to carry out quality inspections, including talking to service users and staff. A report on the findings is produced. The people who use the rehabilitation services are asked to complete an evaluation questionnaire when they leave. An annual service evaluation form is given to the people who live permanently at Heathy House and to those who visit for respite breaks. This gives people a formal opportunity to comment on the care, support and accommodation the home offers. These findings are collated and a report is produced for Social Services. Heathy House DS0000035162.V255517.R01.S.doc Version 5.1 Page 17 At present service users relatives and visiting healthcare professionals are not surveyed, although relatives often assist their family member to complete the questionnaire. It may be useful to separately survey relatives, as well as the people who visit the home in a professional capacity. Heathy House DS0000035162.V255517.R01.S.doc Version 5.1 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 X X X X X 4 HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 1 X 3 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X X X X X Heathy House DS0000035162.V255517.R01.S.doc Version 5.1 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. Standard OP19 Regulation 23 Requirement All the window frames which are rotting and unsafe must be replaced. Brought forward from last inspection. Timescale: 31/12/05 Timescale for action 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP33 Good Practice Recommendations The home should consider including service users relatives and visiting professionals in the quality assurance system. Heathy House DS0000035162.V255517.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Brighouse Area Office 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 DS0000035162.V255517.R01.S.doc Version 5.1 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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