Inspection on 10/01/06 for Heaton House

This inspection was carried out on 10th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Heaton House 25/09/06

Heaton House 23/08/05

Heaton House 24/02/05

Heaton House 02/08/04

Heaton House 17/10/02

Similar services:

Wingham Court

Old Hastings House

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

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

CARE HOMES FOR OLDER PEOPLE Heaton House 20-22 Reigate Road Worthing West Sussex BN11 5NF Lead Inspector Mrs Kathy Allen Unannounced Inspection 10th January 2006 3:00pm 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 Heaton House DS0000014560.V276574.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. Heaton House DS0000014560.V276574.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Heaton House Address 20-22 Reigate Road Worthing West Sussex BN11 5NF 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) 01903 700251 01903 504503 www.heaton-house.net Mr Clive Neil-Smith Mrs Sally Mary Neil-Smith Mrs Sally Mary Neil-Smith Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Heaton House DS0000014560.V276574.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 23rd August 2005 Brief Description of the Service: Heaton House is a care home registered to provide personal care and accommodation for up to fourteen people over the age of 65. It is located in a residential area of Worthing, West Sussex near to local amenities including a post office, shops and churches. The premises are a detached property on two floors both of which are served by a passenger lift. There are two double and ten single bedrooms with en-suite facilities. Heaton House DS0000014560.V276574.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection a review was made of the contact between the home and the Commission for Social Care Inspection (CSCI) since the last inspection. This included an analysis of incident reports and those of other statutory bodies such as the fire service. The inspection took place from 3pm over two hours. During the inspection five residents were spoken to privately. A discussion was held with two members of staff and the manager. In addition a number of records were seen. Residents said “the food is very satisfactory”, “it’s nice and warm” and “there are always staff around”. What the service does well: What has improved since the last inspection? What they could do better: Residents must be within the homes category of registration in order to ensure that their needs will be met. The recruitment of staff should be strengthened to further safeguard residents well being. More people should be consulted about how the home is performing so that it develops in the best interests of residents. Please contact the provider for advice of actions taken in response to this Heaton House DS0000014560.V276574.R01.S.doc Version 5.1 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Heaton House DS0000014560.V276574.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 Heaton House DS0000014560.V276574.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): 1, 2, 4, 5 & 6 Prospective residents have the information they need to make an informed choice about where they live. Each resident has a written contract with the home. The home does not sufficiently meet the needs of residents with dementia. Relatives and prospective residents can visit the home to assess its suitability. Intermediate care is not provided. EVIDENCE: A new resident said that the manager of the home had been to see her before she had moved in. She had received written information about the home so that she understood how it was run and by whom. Residents have a Statement of Terms and Conditions, which they sign. This gives them details of what they can expect from the service. Two people were diagnosed as having dementia, which is not included in the homes category of registration. Whilst the manager had submitted an application to vary the homes registration this has not yet been agreed. Staff were undertaking training in the care of older people with dementia. In addition, the premises had been assessed for its suitability and a number of recommendations had been made. Heaton House DS0000014560.V276574.R01.S.doc Version 5.1 Page 9 Residents are invited to visit the home prior to moving in if this is possible, although often it is a relative who visits on their behalf. Heaton House DS0000014560.V276574.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): 10 Residents feel they are treated with respect and their right to privacy is upheld. EVIDENCE: Residents have their own rooms, which provide them with privacy. The two double rooms are only used as such for married couples or others who choose to live together. All bathrooms and toilets have locks and staff respected residents privacy and dignity. Residents have access to a telephone for use in private. A computer has been installed to store information about residents. This is currently situated in a lounge, which compromises the privacy of residents. The manager confirmed her intention to relocate it to an office. Heaton House DS0000014560.V276574.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): None EVIDENCE: Heaton House DS0000014560.V276574.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): 16, 17 & 18 Residents know how to make a complaint and are protected from abuse. Their legal rights are protected. EVIDENCE: There is a clearly written complaints procedure. Residents understood who was in charge of the home on a day-to-day basis as well as who owns the home. They said “you can always talk to the staff”. There have been no formal complaints received at the home. Staff understood how to respect resident’s rights. They said, for example, if someone did not want to do something they had no right to insist. They also confirmed that residents would have the opportunity to vote in any election either by visiting the polling station or by a postal vote. Relatives assisted those who were unable to represent themselves. The home has a copy of West Sussex Multi Agency Adult Protection procedures as well as it’s own policy. Staff were able to describe the action they would take should they receive any allegation of abuse. They were clear about the procedure to follow including the need to record any details. They also understood who to report any concerns to should someone in the home be implicated. Heaton House DS0000014560.V276574.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 Residents live in a well-maintained environment. EVIDENCE: The location and layout of the home is suitable for its purpose. It is well maintained with access to a good size rear garden, which is also well kept. One recommendation by the fire service remains outstanding. Heaton House DS0000014560.V276574.R01.S.doc Version 5.1 Page 14 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): 29 & 30 The homes recruitment procedure does not fully protect residents. Staff are trained and competent to do their job. EVIDENCE: Two written references are obtained before appointing new staff. They complete an application form however it does not ask for details of the person’s career history and therefore this is not checked. Criminal Records Bureau (CRB) checks are taken up although staff begin work at the home prior to these being completed. New staff receive induction training and a record is kept of this. A training programme is agreed with staff each year and it is expected that they attend all courses. In addition, they have the opportunity to undertake National Vocational Qualifications (NVQ). A good record of training is kept for each individual staff member. Heaton House DS0000014560.V276574.R01.S.doc Version 5.1 Page 15 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 The home is run in the best interests of residents although a more rounded quality assurance system could enhance this. EVIDENCE: The recommendation from the last inspection that the quality assurance process should include relatives and others involved in the home has not been acted upon. Heaton House DS0000014560.V276574.R01.S.doc Version 5.1 Page 16 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 3 X 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X X X X x X X STAFFING Standard No Score 27 X 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X x Heaton House DS0000014560.V276574.R01.S.doc Version 5.1 Page 17 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. 1. Standard OP4 Regulation 4 Requirement No new residents must be admitted who have dementia. Timescale for action 10/01/06 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. 2. 3. 4. Refer to Standard OP10 OP19 OP29 OP33 Good Practice Recommendations The computer should be relocated so that the information is kept confidentially. A risk assessment should be completed in line with the recommendation from the fire service CRB checks should be completed before staff start work at the home and their career history checked. Quality assurance should include relatives and others involved in the home. Heaton House DS0000014560.V276574.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Heaton House DS0000014560.V276574.R01.S.doc Version 5.1 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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