Inspection on 23/08/05 for Heaton House

This inspection was carried out on 23rd August 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 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 10/01/06

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 K Allen Unannounced 23 August 2005, V253467 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. Heaton House H60-H11 S14560 Heaton House V253467 230805 Stage 4.doc Version 1.40 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 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 care@heaton-house.net Mr Clive Neil-Smith & Mrs Sally Mary Neil-Smith Mrs Sally Mary Neil-Smith Care Home (CRH) 14 Category(ies) of Old age, not falling within any other category registration, with number (OP) of places Heaton House H60-H11 S14560 Heaton House V253467 230805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 24th February 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 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 ensuite facilities. Heaton House H60-H11 S14560 Heaton House V253467 230805 Stage 4.doc Version 1.40 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, which included an analysis of incident reports and those of other statutory bodies such as the fire service. The inspection took place from 1.30pm over three and a half hours. During the inspection ten residents and two relatives were spoken to either privately in the residents bedroom or in the lounge. A discussion was held with the manager and her deputy and a number of records were seen. Residents said “It’s wonderful here”, “If some one said I had to go home, I wouldn’t, I’d be lonely”. What the service does well: 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. Heaton House H60-H11 S14560 Heaton House V253467 230805 Stage 4.doc Version 1.40 Page 6 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 Heaton House H60-H11 S14560 Heaton House V253467 230805 Stage 4.doc Version 1.40 Page 7 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, 2, 3, 4 & 6 Prospective residents have the information they need to make an informed choice about where they live and they all have a contract with the home. Their needs are assessed before they move into the home and the service meets the needs of residents. However, it is not suitably resourced to meet the needs of people with dementia. EVIDENCE: There is a written Statement of Purpose which includes all of the required information which is made available to new residents. Files had a copy of the contract drawn up between the home and the resident although the manager acknowledged that one had not been issued and dealt with it immediately. All residents’ files contained details of an assessment of their needs. One person who was diagnosed as having dementia had been placed at the home for a short period which had been extended. The manager was reminded that the home was not registered to look after people with dementia however it was accepted that the person concerned was settling and benefiting from being there. It was agreed that the Commission for Social Care Inspection (CSCI) must be notified when the placement ends or if it is extended. The home does not provide intermediate care. Heaton House H60-H11 S14560 Heaton House V253467 230805 Stage 4.doc Version 1.40 Page 8 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, 9 & 10 Residents have a care plan and their health needs are met. They are protected by the homes procedures for dealing with medicines and their privacy and dignity is respected. EVIDENCE: Each person has a care plan which covers all aspects of their lives including social interests, health care and spiritual needs. Staff record actions taken each day to meet the resident’s needs. All residents are registered with a doctor and they confirmed that there was “no problem” in making appointments, which were dealt with by the staff. Residents were well presented and the majority took part in (and enjoyed) an exercise class, which is run at the home each week. Resident’s contracts state that the home will look after their medication and the arrangements for its administration is well organised. Good records are kept of medicines received at the home and returned to the chemist. A list of current medication is kept and all supplies are safely stored. Residents receive personal care either in their rooms or bathroom/toilets all of which provide for their privacy. How residents like to be addressed is recorded and their preferred names used by staff. Residents have their own private telephones in their rooms. Heaton House H60-H11 S14560 Heaton House V253467 230805 Stage 4.doc Version 1.40 Page 9 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 Residents were satisfied with their lifestyle at the home and enjoyed contact with relatives and the local community. They are helped to exercise choice and control over their lives and are satisfied with the meals provided. EVIDENCE: Residents said that they liked living at the home with one saying “it is wonderful here”. Another said “if anyone said go home, I wouldn’t as I’d be lonely”. They had a choice of activities, which they were informed about, on a notice board and through discussion with staff. They said they especially liked the trips out which included the theatre and garden centres and that they were “very well organised”. Four people attend the church of their choice and communion is conducted at the home each month. One person attends a day centre each week and there is a small library at the home, which is regularly changed by the library service. It includes large print books. One resident did state that on one occasion recently her bedtime routine had not been followed which meant she had to wait half an hour for assistance. This was raised with the manager who agreed that this had been the case but there were extenuating circumstances and that it was unlikely to happen again. It was evident that residents were able to receive visitors who told the inspector that they were always welcome at the home. They were free to involve themselves in the lives of their relative and one person said that they Heaton House H60-H11 S14560 Heaton House V253467 230805 Stage 4.doc Version 1.40 Page 10 had been able to make their mothers room “her own”. Another couple had joined their relative for lunch. The inspector observed very good consultation with residents regarding choice of meals. The member of staff adopted an unhurried approach which enabled them to make proper choices. She explained what certain dishes were made from and accepted when residents wanted to change their minds or have something not on the menu. One person said they were “not a big eater” and this was respected. Mealtimes were a social occasion with a number of residents staying on in the dining room for conversation. All residents retain responsibility for their own finances often with help from a relative or solicitor. They are free to bring personal possessions to the home and one person said she had managed to bring all of her “mementos and knick knacks” and that relatives had been able to fit shelves in her room. Heaton House H60-H11 S14560 Heaton House V253467 230805 Stage 4.doc Version 1.40 Page 11 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 Residents and relatives are confident that their complaints will be listened to and acted upon. EVIDENCE: There is a clear written complaints procedure and residents are provided with details of the CSCI. One resident said that she had a minor problem with night staff but she “mentioned it to the deputy manager” and it was sorted out. This was also confirmed by relatives who said that the manager was “very good”. Heaton House H60-H11 S14560 Heaton House V253467 230805 Stage 4.doc Version 1.40 Page 12 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 & 26 Residents live in a well-maintained environment which provides them with safe and comfortable indoor and outdoor space. Residents rooms suit their needs and the home is clean, pleasant and hygienic. EVIDENCE: The home is located in a convenient area for amenities such as shops, post office, bank and public transport. The premises continue to be well maintained and the grounds well kept. There are no outstanding requirements from the fire service. Residents have the use of a large lounge/dining room as well as a smaller lounge near the kitchen. They have access to a rear garden with seating and shading which is very well kept. The furnishings throughout the house are domestic in style and comfortable. Whilst there are two double bedrooms these are used as single rooms unless a couple or friends wish to share. All rooms are of a satisfactory size and well furnished. A number of rooms are fitted with locks as requested by the occupant. The laundry is located away from food preparation areas and hand-washing facilities are situated nearby. The home was clean throughout. Heaton House H60-H11 S14560 Heaton House V253467 230805 Stage 4.doc Version 1.40 Page 13 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) 27 & 28 Residents needs are met by the number and skills of the staff who have suitable training. EVIDENCE: There is a recorded rota showing which staff are on duty at any time during the day or night. Staff confirmed that there are always two people on duty and that the manager is often at the home as well. With the one exception already stated residents said there was always enough staff and that “help was always available”. There is a good National Vocational Qualification (NVQ) training programme at the home including the deputy manager who is just starting the Registered Managers Award. Therefore the recommended ratio of trained members of staff is met. Heaton House H60-H11 S14560 Heaton House V253467 230805 Stage 4.doc Version 1.40 Page 14 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) 31, 33, 35 & 38 Residents live in a home that is managed by a person who is fit to do so. She ensures that the service is run in the best interests of resident’s and that their financial interests are safeguarded. EVIDENCE: The manager is joint owner of the home with her husband and has considerable experience of running a residential care home. She is a qualified nurse and has also recently obtained the Registered Managers Award. She holds staff meetings where they can give feedback about how the home is being run. A survey of residents has recently been carried out and the results are in the process of being collated. At the moment there are no formal arrangements for others involved in the home to be consulted, for example relatives and doctors and this was discussed with the manager. As previously stated all residents manage their own affairs usually with the help of family or solicitors. Heaton House H60-H11 S14560 Heaton House V253467 230805 Stage 4.doc Version 1.40 Page 15 The safety of residents is assured through regular checks on fire fighting equipment as well as an annual service by a qualified person. Equipment is used for safe lifting. For example one person sometimes needs to be lifted and a hoist is available. Risk assessments are carried out although a recommendation by the fire service that a risk assessment is undertaken remains outstanding. Also, one person is considered to be at risk if they leave the building unaccompanied and measures have been taken to lessen this risk. They include locking the front door at meal times when they are most likely to leave the premises. Such decisions should be made in consultation with all parties and a written risk assessment drawn up and regularly reviewed. A good record of any accidents is kept and monitored by the manager or her deputy. Heaton House H60-H11 S14560 Heaton House V253467 230805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 2 x 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 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x 3 x x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 x 3 x 3 x x 3 Heaton House H60-H11 S14560 Heaton House V253467 230805 Stage 4.doc Version 1.40 Page 17 No 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 4 Regulation 4 Requirement The CSCI must be informed of the discharge of one person as agreed with the manager Timescale for action Nov 30 2005 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. Refer to Standard 33 38 38 Good Practice Recommendations Quality assurance should include relatives and others involved in the home. A risk assessment should be completed in line with the recommendation from the fire service A risk assessment should be completed regarding restrictions placed on residents Heaton House H60-H11 S14560 Heaton House V253467 230805 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 2nd Floor Ridgeworth House Liverpool Gardens Worthing West Sussex 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 H60-H11 S14560 Heaton House V253467 230805 Stage 4.doc Version 1.40 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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