Inspection on 25/09/06 for Heaton House

This inspection was carried out on 25th September 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 10/01/06

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 K Allen Key Unannounced Inspection 09:00 25 September 2006 th 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.V307033.R02.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. Heaton House DS0000014560.V307033.R02.S.doc Version 5.2 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 care@heaton-house.net 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.V307033.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2006 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, churches and public transport. 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.V307033.R02.S.doc Version 5.2 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 manager completed a pre-inspection questionnaire. The inspection took place from 9am over five hours. During the inspection all except one resident, who was out were spoken to in the privacy of their own rooms. A visitor was also seen in the company of the person she was visiting. A discussion was held with the manager, deputy manager, cook, cleaner and care staff. In addition a number of records were seen. Residents said they can “do as they please”, “staff are very helpful/lovely”, “I am never bored”, and “I’m very, very happy here, it’s warm and like being in a family”. No requirements have been made although two recommendations have. They are that residents who need support to go out individually, other than hospital/GP type appointments, should be offered this. It is further recommended that a written development plan be made to ensure that resident’s views and those of others involved in the home are taken into account as the home develops. There are plans to change the category of registration so that the home can accommodate people with dementia and an application is due to be submitted to CSCI What the service does well: What has improved since the last inspection? No new resident with dementia has been admitted so that the home is operating within its current registration. Quality assurance measures now include the views of relatives and others involved in the home. The computer, which holds private information has been moved from a public area to ensure the privacy of residents. Heaton House DS0000014560.V307033.R02.S.doc Version 5.2 Page 6 A risk assessment has been carried out regarding fire prevention measures in line with that recommended by the local fire service. New staff have an up to date CRB check. 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 DS0000014560.V307033.R02.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 Heaton House DS0000014560.V307033.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 The outcome for residents is good. No-one moves to the home without having their needs assessed. Intermediate care is not provided. EVIDENCE: One person had moved to the home since the last inspection and a written assessment was available regarding her needs. She confirmed that she was happy at the home and that her needs were met. Heaton House DS0000014560.V307033.R02.S.doc Version 5.2 Page 9 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): 7, 8, 9 & 10 The outcome for residents is good. Their needs are set out in a care plan. Their health needs are met and they are protected by the homes medication procedure. Residents feel they are treated with respect and their privacy is upheld. EVIDENCE: Residents all have a care plan which is held on a computer although hard copies are made available. These are regularly reviewed involving residents. Everyone at the home was well and they confirmed that they were able to see their GP as required. One person is visited regularly by a community nurse. A record of appointments with other health professionals is kept and it shows that residents see the chiropodist, dentist and optician as they need to. One person confirmed that she was under a consultant at the local hospital for an eye condition and another said that she could rely on staff for her appointments The procedure for medication ensured that those residents who could handle their own did so. One person said she used to take a lot of medication at which point she asked staff to manage it for her. This is now done to her satisfaction. Good records are kept of what medication people are on and of its Heaton House DS0000014560.V307033.R02.S.doc Version 5.2 Page 10 administration. Safe storage facilities were in place. Staff receive training in safe medication practices. Residents have their own room. The double rooms are only used if the resident wishes to share, for example a married couple. They have been consulted about having a lock on their bedroom door and some have opted for this. They said that staff were “kind and considerate” when they helped them, for example in the bathroom. Everyone has access to a telephone with some people having their own in their rooms. All bathrooms and toilets have suitable locks. Heaton House DS0000014560.V307033.R02.S.doc Version 5.2 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): 12 ,13 14 & 15 The outcome for residents is good. They find the lifestyle at the home suits their needs and maintain contact with family and friends as well as the local community. They can exercise choice over their lives and are provided with wholesome and appealing meals. EVIDENCE: Residents lead active lives and one said that he was never bored. A selection of activities are provided which residents felt they could choose to participate in or not, whichever was their choice. Daily routines are flexible, for example residents were able to start the day at the time they chose. One person said she liked to have a cup of tea before getting up and then did so at her leisure and this was accepted. Everyone had contact with family or friends. One person continued to attend the local church, which was the one she attended before moving to the home. Visitors said they were welcomed at all times and offered a coffee. One person felt they could have more opportunity to go out and suggested that volunteers may be provided to do this with her. This suggestion was passed on to the manager. All residents manage their own finances usually with help from family or a solicitor. Heaton House DS0000014560.V307033.R02.S.doc Version 5.2 Page 12 They can bring personal possessions to the home to help them feel more at home. Everyone said that the meals were good although one person felt there could be more seasonal fruit and vegetables. Two people need to have their food prepared so that it was more digestible and this was done, although one person said the staff sometimes forgot. This was passed on to the manager who said she would look into the matter. Everyone said that they enjoyed meeting up with people in the dining room which was nicely laid out with small tables. Heaton House DS0000014560.V307033.R02.S.doc Version 5.2 Page 13 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 & 18 The outcome for residents was good. They are confident that their complaints would be taken seriously and are protected from abuse. EVIDENCE: There is a clearly written complaints procedure which is made available to residents when they move into the home. There have been no recorded complaints. Staff are aware of the homes adult protection procedures and some have received training in this matter. One resident is known to be outspoken and able to unsettle other residents. The home manages this well with clear guidelines for staff and good records. There have been no referrals under adult protection. Heaton House DS0000014560.V307033.R02.S.doc Version 5.2 Page 14 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 & 26 The outcome for resident is good. They live in a safe and well-maintained environment which is clean and hygienic. EVIDENCE: The location of the home is good with access to shops, post office, churches and public transport. Residents who enjoy being able to get out independently appreciate this. The home is well maintained including the grounds, which provide a good amenity for residents. The premises comply with the requirements of the local fire service and environmental health service. Domestic staff are employed and all areas of the home were clean. The laundry is located away from food preparation areas and suitably equipped to include facilities for washing soiled linen. Digital locks have been fitted to the front door and the door at the top of the stairs. One resident was angry about the upstairs lock and felt it restricted them. This was discussed with the manager who stated that the person concerned was now unsteady on their feet and at risk when using the stairs. Heaton House DS0000014560.V307033.R02.S.doc Version 5.2 Page 15 The arrangement had been discussed with their relatives who supported the safety measure. Heaton House DS0000014560.V307033.R02.S.doc Version 5.2 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 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, 29 & 30 The outcome for residents is good. Their needs are met and they are in safe hands. They are protected by the homes recruitment procedures and staff are trained to do their jobs. EVIDENCE: There is a written rota showing that a minimum of two care staff are on duty at any time. They are supported by domestic staff including a cook. There are staff on duty at night. Residents said that they felt staff were very busy and this lead to them feeling that they “didn’t want to cause any bother or trouble anyone”. This was discussed with the manager who agreed to keep staffing levels under review. There is a National Vocational Training (NVQ) programme in place and support is provided for staff who are undertaking this. This is coupled with an ongoing training programme which has recently included dementia training in view of the plans to change the category of registration at the home. Good practice is followed regarding recruitment including the taking up of two references and a Criminal Records Bureau (CRB) check. The manager uses her discretion when appointing staff who have recently had a CRB check and may take them on pending updating this. A record of interview is kept and contracts of employment issued. Heaton House DS0000014560.V307033.R02.S.doc Version 5.2 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 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): 31, 33, 35 & 38 The outcome for residents is good. The home is run by a competent manager and in residents best interests. Their financial interests are safeguarded and the health, welfare and safety of residents and staff is promoted. EVIDENCE: The manager is qualified and experienced having run the home for a number of years. She has appointed a deputy manager who is trained to manage the dayto-day running of the home although overseen by the registered manager. Questionnaires are given to resident each year to gain their views on the running of the home. In addition, others involved in the home, such as the hairdresser, activity providers, and residents next of kin are asked to provide feedback. Residents and visitors have access to all CSCI inspection reports. Currently there is no written development plan for the home demonstrating that the views of residents and others are taken into account in its development. Heaton House DS0000014560.V307033.R02.S.doc Version 5.2 Page 18 As previously stated, no responsibility is taken by the home for residents finances. The manager also confirmed that she does not hold any money for residents for day to day expenses. Staff receive training and regular refreshers on health and safety. They include fire safety, lifting and handling, first aid, infection control and food hygiene. Maintenance contracts are in place for the passenger lift and hoist as well as electrical equipment. There is a written policy for maintaining safe working practices which staff sign to say they have read. All accidents are recorded. Heaton House DS0000014560.V307033.R02.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 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 X X X X X X 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 X 3 X 3 X X 4 Heaton House DS0000014560.V307033.R02.S.doc Version 5.2 Page 20 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. 1. 2. Refer to Standard OP12 OP33 Good Practice Recommendations Opportunities should be provided for residents to go out individually with support An annual development plan should be drawn up Heaton House DS0000014560.V307033.R02.S.doc Version 5.2 Page 21 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.V307033.R02.S.doc Version 5.2 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. 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