Inspection on 08/05/07 for Heathy House

This inspection was carried out on 8th May 2007.

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

Heathy House 06/02/06

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 Cheryl Stovin Key Unannounced Inspection 8th May 2007 10:00 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 Heathy House DS0000035162.V329801.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. Heathy House DS0000035162.V329801.R01.S.doc Version 5.2 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 helen.taylor@calderdale.gov.uk www.calderdale.gov.uk Calderdale MBC Mrs Helen Taylor Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (17), Physical disability (1), Physical disability of places over 65 years of age (15) Heathy House DS0000035162.V329801.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th February 2006 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. The unit provides 10 places for people who require long term residential care, 5 places for people requiring respite or short term care and 2 places for people who require residential services between transition from hospital to home. Fifteen places are available to people requiring a period of rehabilitation before being able to return to their own homes. 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. The weekly charge at the home is subject to individual financial assessment. Additional charges are made for hairdressing, personal toiletries and newspapers. Heathy House DS0000035162.V329801.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered during a key inspection of Heathy House. This included an unannounced visit I made to the home on 8th May 2007. A total of 6 hours was spent on the visit. During this time I looked around the home, looked at records and spoke with management, staff and the people living at the home. In addition to this visit, comment cards were sent out to give people an opportunity to share their views of the service with CSCI. At the time of writing this report no replies had been received. The last inspection of Heathy House was on 6th February 2006, no additional visits have been made. A pre-inspection questionnaire was sent to the home which was returned promptly and gave useful information. What the service does well: The home has a warm and welcoming atmosphere and people living at the home and visiting relatives confirmed that this is always the case. People are encouraged to follow their own interests and to live their preferred lifestyle. An example of this was some people were seen to be enjoying a beer before lunch and enjoying each others’ company. The home is staffed by a well trained and motivated workforce. People living at the home told me that the staff were kind to them and attend to their needs promptly and sensitively. The people living at the home are protected by the recruitment practices operated by the home. All people have an assessment before moving into the home to make sure that their needs can be met. People are encouraged to visit the home before making a decision to move in. This enables the person to meet the staff and other people living at the home, and to sample the daily routines in the home. People using the rehabilitation service receive a period of intensive therapy based on physiotherapy and occupational therapy assessments. This means that people can achieve maximum independence which makes it possible for them to return to their own homes. The rehabilitation unit is in a separate wing of the home and is staffed independently from the rest of the home. This Heathy House DS0000035162.V329801.R01.S.doc Version 5.2 Page 6 makes sure that sufficient staff are available to meet the needs of everybody living at the home. 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. The summary of this inspection report can be made available in other formats on request. Heathy House DS0000035162.V329801.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 Heathy House DS0000035162.V329801.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): 1,3,4,5,6 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are assessed before moving into the home and they are provided with written information about the services and facilities provided. EVIDENCE: The home has produced a Statement of Purpose which clearly states the services and facilities provided. This gives people useful information about the home. All people are assessed before moving into the home to ensure that their needs can be met. People are encouraged to visit the home before making a decision to move in, to meet the staff and other people living in the home. Heathy House DS0000035162.V329801.R01.S.doc Version 5.2 Page 9 During the visit, two people were being admitted for a period of respite care. The admission procedure was handled in a sensitive manner with people being shown around the home and reassurance given. There are 15 places in the home for people who require short term intensive rehabilitation services. The rehabilitation facilities are self-contained from the rest of the home, with a dedicated staff team. Detailed rehabilitation plans are in place with Physiotherapy and Occupational Therapy assessments. Rehabilitation Support Workers provide therapy, care and support to enable people to recover or establish daily living skills and regain independence in order to return home. I spoke to people about their experiences of the rehabilitation service. All were very positive about their time spent at the unit. Some of their comments made included: “I have been so impressed, they are lovely”. “It’s certainly helped me and it’s a wonderful place”. “All the staff have been absolutely brilliant and the atmosphere is wonderful”. “When I found out I was going into a care home for a while I was dreading it, but they have helped me so much. I can go home again soon, but it’s certainly changed my opinion of going to live in a care home”. “I’m looking forward to going home, but without their care and assistance I wouldn’t be able to, they are very good to me”. Heathy House DS0000035162.V329801.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): 7,8,9,10 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s health and personal care needs are met and care plans are detailed and clearly show how their support is to be given and by whom. EVIDENCE: A selection of care records were seen. Records of people using the rehabilitation service, respite care and permanent residents were looked at. All contained detailed information and had been written in conjunction with the people using the service and their families where this was appropriate. A copy of the person’s care plan is also held in their own room. The rehabilitation plans were particularly detailed with Physiotherapy and Occupational Therapy assessments at the core of the care plan. The plans clearly detail the goals and the actions to be taken to ensure that people regain maximum independence to enable them to return home. The people Heathy House DS0000035162.V329801.R01.S.doc Version 5.2 Page 11 using the service are actively involved in setting their own goals to enable them to manage at home. The care plans are reviewed regularly and clearly show how the care is to be given and the actions necessary to meet each assessed need. Detailed daily records are completed which show how the person has spent their time and who has visited them. This gives the rehabilitation staff important information as to how the person is progressing and also what their support networks are for when they return home. The home uses a Monitored Dose System (MDS) for the administration of medication. The stocks of medication are securely stored. The home has policies and procedures in place to ensure the safe administration of medication. All staff responsible for handling medication have been trained in medication administration. The Medication Administration Records (MAR) were accurately completed. Stocks of medication held reconciled with the records kept. The medication being held for people using the short stay facilities are held in the original containers as dispensed by the pharmacist. Some people who use the rehabilitation service handle their own medication. A lockable cabinet is provided in all bedrooms to make sure the medication is held safely. People said that they were treated well and that their privacy and dignity was respected. Staff were seen to be promoting the dignity of the people using the service. Heathy House DS0000035162.V329801.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): 12,13,14,15 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People choose how to spend their time and join in activities provided in the home. The quality of the meals provided is good and mealtimes are a relaxed social occasion. EVIDENCE: The home has a warm, welcoming and relaxed atmosphere. People living in the home confirmed that they choose where and how to spend their time. I spoke to the husband of a person being admitted for a period of respite care. He stated that he was very satisfied with Heathy House. He said “you won’t find a better place”. He said his wife had a short stay at another home a while ago, but “would not be happy with her anywhere else than Heathy House”. There is a programme of activities in the home which include visiting entertainers, quizzes, bingo and outings. The assistant manager said she was Heathy House DS0000035162.V329801.R01.S.doc Version 5.2 Page 13 in the process of arranging a series of days out during the summer months. The people living at the home said that they were looking forward to the bingo being played later in the evening. Mealtimes were seen to be relaxed and very much a social occasion. The main meal of the day is served at lunchtime and on the day of the visit was asparagus soup, roast chicken and seasoning or sausages served with new potatoes, Yorkshire pudding and fresh vegetables, followed by rice pudding or jelly and cream. People said that they enjoyed their meals. Special diets can be provided and religious or cultural requirements are assessed. Visitors were seen to be warmly welcomed into the home and said that this is always the case. People living at the home said that they were happy there and some made the following comments: “Very well looked after”. “Very nice and pleasant”. “They look after you well here”. “Very satisfied with everything. My room is suitable and the staff are very good to me”. “You can do as you like”. “No complaints about anything”. Heathy House DS0000035162.V329801.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): 16,18 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are protected by the policies, procedures and practices in the home. EVIDENCE: The home uses the Calderdale Social Services Compliments and Complaints procedure for the handling of any complaints received. The procedure to follow is displayed in the home and is also in the Statement of Purpose. People that I spoke to knew who to speak to if they were unhappy about anything in the home. One person said “I don’t know what you could complain about in this place, nothing is ever wrong”. The home has a Protection of Vulnerable Adults (POVA) procedure in place and all staff have received training in adult abuse awareness. Heathy House DS0000035162.V329801.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): 19,20,22,23,24,25,26 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well maintained and hygienic environment. EVIDENCE: The home is situated in a residential area in the Holmfield district of Halifax. There are local shops, pubs and a post office nearby. The town centre of Halifax is easily accessible by public transport. The property has been substantially refurbished to accommodate the rehabilitation services, and is in a good state of repair. The unsafe window frames in the entrance hall area, identified as a requirement at the last inspection, have been replaced. Heathy House DS0000035162.V329801.R01.S.doc Version 5.2 Page 16 The accommodation is arranged over three floors. Two passenger lifts provide access to all areas of the home. The rehabilitation service is situated in a separate wing of the home. It is well equipped with a rehabilitation kitchen equipped with both gas and electric cookers. This is to replicate the facilities the people have in their own homes. There is also a spacious lounge and separate dining area. All bedrooms are for single occupancy and the majority of the bedrooms are personalised with people’s cherished possessions. People using the service said that they were satisfied with the accommodation provided. Communal areas are comfortable and well equipped. A smoking area is provided for all people using the service if they choose to smoke. Well maintained, safe and accessible gardens and a patio area are available for people to sit in during the warmer weather. The laundry was seen to be well equipped with machines meeting the required hygiene standards. An infection control procedure is in place to protect the health and safety of the people living at the home. The home was seen to be clean and hygienic throughout. People living in the home confirmed that this was always the case. Heathy House DS0000035162.V329801.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): 27,28,29,30 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are met by a well trained and competent staff team, and are protected by the rigorous recruitment practices. EVIDENCE: There are enough staff on duty at all times to meet the needs of the people living at the home. Staff rotas seen indicate that there are at least four care staff, plus the management team, on duty between 8am and 2pm, and four care staff and one senior carer on duty until 10pm. During the night, there are two waking night staff plus a member of staff sleeping in. Staff spoken to during the visit said they felt that the staffing levels were “just about right” with enough time to perform their tasks and chat to people. The rehabilitation unit is staffed by a dedicated staff team. In addition to the staff providing care, catering, domestic and maintenance staff are employed in sufficient numbers. There is a commitment to staff training in the home with a programme of National Vocation Qualifications (NVQ) in place. In excess of 70 of the staff Heathy House DS0000035162.V329801.R01.S.doc Version 5.2 Page 18 team have completed their NVQ award, which ensures that a high standard of care is given to the people living in the home. In addition to the NVQ training, a wide range of training has been undertaken by the staff team to make sure that care is given in line with current good practice guidelines. People living in the home expressed satisfaction with the staff. Visiting relatives also spoke highly of the staff and confirmed that they are kept informed of important issues affecting their relative. One visitor said “the staff are friendly and approachable and genuinely seem to care”. Staff were seen to be meeting the needs of the people living in the home in a sensitive manner and promoting dignity at all times. The home adheres to the robust Calderdale MBC recruitment procedures and practices. All staff are subject to the required Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures prior to commencing employment at the home. As the staff files are held in the Human Resources department at the Social Services Headquarters, I was unable to actually inspect the recruitment files. Senior staff have received training in recruitment and selection to ensure that the practices are fair and safe. Heathy House DS0000035162.V329801.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): 31,32,33,35,36,38 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well run and managed service. People’s health and welfare are protected by the home’s health and safety practices. EVIDENCE: The Registered Manager of the home is experienced and qualified to manage the home. She is supported by an assistant manager and a team of senior Residential Support Workers. Heathy House DS0000035162.V329801.R01.S.doc Version 5.2 Page 20 There are clear policies and procedures for handling finances which means that people’s personal finances are held safely. A six monthly report is prepared on all parts of the service. The results of this survey are collated and published. The last survey’s showed high satisfaction with the services provided in all parts of the home with very complimentary remarks made by people using the service. There are detailed health and safety policies and procedures in place. All staff receive mandatory training in health and safety and safe working practices. Risk assessments are in place which ensure the health and safety of the people living at the home is protected. Heathy House DS0000035162.V329801.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 3 x 3 3 3 3 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 3 x 3 3 3 3 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 3 3 x 3 3 x 3 Heathy House DS0000035162.V329801.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 Heathy House DS0000035162.V329801.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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. 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