Inspection on 01/11/07 for Hemsworth Park Care Centre

This inspection was carried out on 1st November 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

Hemsworth Park Care Centre 25/10/06

Hemsworth Park Care Centre 16/01/06

Hemsworth Park Care Centre 22/06/05

Hemsworth Park Care Centre 19/01/05

Hemsworth Park Care Centre 21/07/04

Hemsworth Park Care Centre 24/10/03

Hemsworth Park Care Centre 29/07/03

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Hemsworth Park Care Centre Wakefield Road Kinsley Wakefield West Yorks WF9 5EA Lead Inspector Tony Railton Unannounced Inspection 09:00 1 November 2007 st Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 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 Hemsworth Park Care Centre DS0000006188.V353714.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 and Care Homes for Adults 18 – 65*. 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. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hemsworth Park Care Centre Address Wakefield Road Kinsley Wakefield West Yorks WF9 5EA 01977 617374 01977 610847 hemsworthpark@schealthcare.co.uk the.willows@ashbourne.co.uk Exceler Healthcare Services Limited 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) Care Home 93 Category(ies) of Dementia (5), Dementia - over 65 years of age registration, with number (30), Old age, not falling within any other of places category (39), Physical disability (54), Terminally ill (3), Terminally ill over 65 years of age (3) Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The 19 bedrooms registered for young physically disabled, specifically are bedrooms 1 to 9 and bedrooms 12 to 21, will be occupied by ambulant and not wheelchair dependent service users. Can provide accommodation and care for service users with Dementia over 65 years within the total of 39 places for older people. Can provide accommodation and care for service users with Dementia within the total of 54 places for service users with a physical disability. 25th October 2006 2. 3. Date of last inspection Brief Description of the Service: The Hemsworth Park Care Centre continues to provide accommodation, personal and nursing care to 54 younger adults who have a physical disability and 39 older people who may also suffer with Dementia, and 3 within this total who may have a diagnosis of terminal illness. Respite care is also offered. All accommodation provided is single and there is a passenger lift and assisted bathing provided. Prospective service users are invited into the home to test drive the services provided. Some residents attend community based day care services and in house activities are arranged for those who wish to participate. The home is divided into distinctive units with each having there own lounges and dining rooms. There is a café provided for the use of service users and visitors There are two small kitchenettes provided for more independent service users. Some take advantage of the local shops, post office and public houses nearby. The home is close to Hemsworth Water Park and some residents enjoy views of lake and surrounding countryside from their bedrooms. On the 1st November 2007 the manager said that the fees for living in the home ranged from £380.00 to £450.00 per week with extra charges for Chiropody (£10) and hairdressing (starting at £4.10). Information regarding the services provided and the role of the CSCI can be obtained from the home. The home is situated in Kinsley, is on a main bus route and close to the M1/A1 link roads. All services and amenities are only a few minutes journey away at Hemsworth. For those service users who require transport the care centre has two mini busses one of which has a tail lift for wheelchair users. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit to the home commenced at 07.25 and ended at 13.35. The visit started early to give the inspector the opportunity to speak to the night staff and observe the daily routines of the home. During the inspection there was the opportunity to speak to people using the service, the manager, unit heads, nurses, care staff, activities co-ordinator, kitchen and domestic staff. Six records of people using the service were seen along with assessments, care plans, reviews, medical and daily records and the record of activities. Six staff records were also seen and included application forms, references police and POVA (Protection of Vulnerable Adults List) checks, and training records. Other information considered included twenty-one of the homes returned relatives satisfaction surveys, Service History and the returned Annual Quality Assurance Assessment. The inspector would like to take the opportunity to thank the people using the service, the manager and her staff team for their hospitality and patience throughout the visit. What the service does well: What has improved since the last inspection? For the benefit and comfort of people using the service the main downstairs dining room has been decorated and the floor covering replaced. There is a new lounge on the first floor and ten bedrooms have been decorated and provided with new furniture. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 6 To make sure peoples care needs continue to be met, more staff have a National Vocational Qualification at Level 2 or above 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. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 (Young Adults) 3 & 6 (Older People) To make sure peoples needs can be met by the service these are fully assessed before they are offered a service. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. EVIDENCE: To make sure peoples needs can be met by the service, the manager said that they go out and assess people’s personal and healthcare needs before they are offered a place. The unit heads confirmed this and also said that they are also involved in the assessment process. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 9 A sample of six peoples records show that their care needs are assessed before they are admitted. These records also show that a personal history and care profile are also undertaken to make sure people are cared for in a way they require and prefer. One person using the service said that they are involved in their assessments and telling people how they want to be looked after. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 (Young Adults), 7,14 and 33 (Older People) People are involved in developing , agreeing and reviewing their plan of care. People are supported to make decisions about their lives and to take risks as part of living an ordinary lifestyle. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. EVIDENCE: A sample of two peoples records on the Younger Disabled Unit showed that some people are very able and have a say in what happens to them. However these were not signed to show what care had been agreed. One person said that they are involved with developing their care plans and reviewing them to make sure they are right. The daily records on the residential unit use descriptive words to show and reflect people’s choices and preferences and any decisions they make about Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 11 how they live their daily lives. The daily records on the other units do not reflect or show peoples choices and preferences. Twenty-five of the homes returned satisfaction surveys and the minutes of the residents meetings and reviews show that people have the opportunity to comment on the services provided. Twenty-one returned relatives satisfaction surveys show that people are generally happy with the care provided and show that they are involved in their relatives care. One person using the service said that they like to go out to the local shops and post office. Records show that risk assessments are completed to make sure people are safe. The daily records and record of activities show that people are supported and encouraged to take risks as part of the living of an ordinary lifestyle. The manager said that people are encouraged to do as much for themselves as possible and take control of their own lives. Discussion with the unit heads and care staff and the daily records seen confirmed this. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 121,13,15,16 and 17 (Young Adults) 10,12,13 and 15 (Older People) The service provided matches people’s expectations and they are supported to be part of the local community and participate in appropriate activities if they so wish. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 13 EVIDENCE: A group discussion with five people using the service found that they are very happy with life in the home. One said that they had a Halloween Party last night and everyone said how much they had enjoyed it. Another said that there is “plenty to do if you want to join in, but you don’t have to if you don’t want to”. The manager said that there are always planned activities taking place around the home. Discussion with the activities co-ordinator and record of activities confirmed this. The homes returned twenty-five residents’ surveys show that people are generally happy with the organised activities., and the twenty-one relatives surveys show that they are also happy with the activities provided. Although one did comment that there could be more activities provided for those suffering with Dementia. The photographs provided by the activities co-ordinator shows people enjoying seasonal parties and outings. The menus show that there is a balanced and varied diet offered and that there is also a choice of menu. Five people on the residential unit said that the meals provided are generally good. One person said the meals are “very good”, another said that they “enjoy” the meals provided. Another said that the food is alright, however they “did not like Liver and Onions” and had to tell the cook about this. The comments book and discussion with the cook confirmed this and an alternative provided. The daily records on the residential unit contain descriptive words to reflect and show peoples choices, preferences , likes and dislikes. People were observed having their breakfast and lunchtime meal, which they appeared to enjoy. Staff were also observed to be available in sufficient numbers to assist and support those who need it have their meal in a relaxed and unhurried manner. People were observed throughout the visit being treated with dignity and having their wishes respected. Positive relationships were also observed being fostered between care staff and those using the service. The twenty-four residents returned satisfaction surveys how that people are generally happy with the meals provided by the home. The twenty-one relatives surveys also show that they are happy with the quality and variety of meals provided. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) Service users retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicines. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 (Young Adults) 8,9 and 10 (Older People) People receive personal support in a way they need and require and they are protected by the way medicines are dealt with. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. EVIDENCE: A sample of six peoples records including assessments , care plans, medical and daily records show that some people are very able and are fully involved in saying how they prefer to be cared for. Discussion with the manager and unit heads confirmed this. The reviews seen showed that people including their relatives and other stakeholders such as Social Workers and Community Nurses are also satisfied with the healthcare services provided. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 15 The daily records on the residential unit use descriptive words to reflect peoples choices , preferences likes and dislikes. The homes returned relative’s surveys show that relatives are generally happy with the services provided and feel that their relative’s personal and healthcare needs are met. People are protected by the way medicines are dealt with by the home as staff training records show that people giving medicines have been trained to do so properly and safely. Four peoples medicines were checked, the balance counted and found to be correct. The medicines were also recorded correctly. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 (Young Adults) 16, 18 and 35 (Older People) People know that their comments will be listened to and acted upon. People are protected from abuse. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. EVIDENCE: The manager said that the home has not received any complaints since the previous inspection visit. The Annual Quality Assurance Assessment and Service History and homes record of complaints confirmed this. The service history and Annual Quality Assurance Assessment did show that there have been two Safeguarding referrals and one Safeguarding investigation. Discussion with the manager, unit heads and the minutes of the Safeguarding meetings show that the service took the appropriate action to protect people using the service. A sample of six staff records and training and development plan show that people are protected from abuse as all staff have POVA (Protection of Vulnerable Adults) training. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 17 The complaints policy is accessible as it was found that people have a copy of the Service User Guide in their rooms that includes the complaints policy and procedure. The comments book on each of the unit’s show that people have the opportunity to comment on the services provided. The minutes of the residents meetings, reviews and returned satisfaction surveys also show that people have the opportunity to complain and express any concerns. Twenty-one of the homes returned satisfaction surveys show that relatives know how to make a complaint but they have never had to do so. One person using the service said that “the new manager is approachable and will listen to their concerns, if they had any”. The service history shows that one anonymous complaint expressing concerns about the staffing levels at night was received by the CSCI . This was discussed with the manager five night carers and the qualified nurse in charge of nights. It was found that usually there are enough staff planned to be on nights to meet peoples care needs. However, there are occasions usually because of sickness when agency or pool workers have to be used. The manager said that despite sickness there are always enough staff available to meet peoples needs. The duty rotas and discussion with the night staff confirmed this. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 (Young Adults) 19 and 26 (Older People) People live in a safe, comfortable environment that is well maintained and clean. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. EVIDENCE: The manager of the service said that to make the home more pleasant and comfortable there have been many improvements since the previous visit and in particular to the unit caring for those who have Dementia. These improvements include a new small quite lounge, redecorated and with new furniture. Ten bedrooms have been re-decorated ad provided with new Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 19 bedroom furniture, the corridor has been re-decorated along with the main lounge area. This work was confirmed by a tour of the home and the Annual Quality Assurance Assessment. One person using the service pointed out the new floor covering in the main ground floor dining room and said “how nice it is”. A carer confirmed that the new laminate floor covering is much better for people using the service as it is easier to keep clean and “looks better”. A tour of the premises found people relaxing in a comfortable and relaxing environment that is safe and clean. However, for the benefit of people using the service and their relatives the housekeeper said that the blocked drain in the visitor’s toilet needs some attention to prevent the unpleasant odours. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 (Young Adults) 27,28,29 and 30 (Older People) People’s needs are met by the numbers and skill mix of staff that are trained and qualified. People are protected by the staff selection policies and practices. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. EVIDENCE: People are protected by the way staff are employed as a sample of six staff records show that appropriate checks including police and POVA (Protection of Vulnerable Adults List) are taken up before people are employed. People using the service are cared for by staff that are trained and qualified as staff training records show that they receive First Aid, Moving and Handling, Infection Control, Food Hygiene and Health and Safety training. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 21 The manager said that people care needs are met by qualified staff . This was confirmed by the Annual Quality Assurance Assessment that shows 78 of care staff now have an National Vocational Qualification Level 2 or above. This was also confirmed by the staff training and development plan. People spoken to said they are happy with the quality of care provided. One person said the staff are “very good” and “listen to what they say”. One relative writes “I have no complaints about the carers they are wonderful”. Another writes “I am very pleased with the staff caring for my relative, I am well satisfied with the care my relative is getting”. Another writes “any issues are dealt with professionally and staff are always helpful”. Throughout the visit positive relationships were observed being fostered between carers and people using the service. Staff were also observed to be available in sufficient numbers to meet the needs of people in a relaxed and unhurried manner. The manager said that to make sure peoples care needs are met, they plan to have enough staff on duty at all times. The duty rotas confirmed this. Discussion with one care staff found that they feel that “usually there is enough staff to do our jobs properly”. The homes returned relative’s satisfaction surveys show that people are generally happy with the care staff and the support provided for their relatives. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 (Young Adults) 31,33,35 and 38 (Older People). People live in a well managed home that is run in their best interests and where their health, safety and welfare is promoted and protected. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 23 EVIDENCE: The returned satisfaction surveys, minutes of residents and relatives meetings, reviews, daily records and comment books show that people have the opportunity to have a say in the running of the home. There are no satisfaction surveys available from other stakeholders such as visiting healthcare professionals or Social Workers. Discussion with one person using the service showed that there are a number of people who are very able and can say what they think about the care and services provided. This was confirmed by the minutes of the residents meetings and through discussion with the manager and unit heads. People have a say in how they live their daily lives as the daily records on the residential unit use descriptive words to reflect and show peoples choices , preferences likes and dislikes. The care management systems and in particular the monthly and six monthly reviews and daily records and returned satisfaction surveys, show that the service meets peoples personal care needs. People’s medical records including doctors, District Nurses and Community Mental health Team visits and medication administration systems show that people are safe and their healthcare needs are met. The manager said that there are monthly health and safety checks carried out along with monthly meetings of the unit heads . The minutes of these meetings and the Annual Quality Assurance Assessment confirmed this. Visits by the Environmental Health Department on 5th October 2007 and the Health and Safety Department on 12th October 2007 did not raise any issues and the reports show that people live in a safe environment. Six staff records and the training and development plan show that staff receive health and safety training and that people using the service are cared for safely by trained and qualified staff. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 x 2 3 3 3 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT Standard No Score 37 3 38 3 39 3 40 x 41 x 42 3 43 x 3 3 3 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hemsworth Park Care Centre Score 3 3 3 x DS0000006188.V353714.R01.S.doc Version 5.2 Page 25 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 Refer to Standard OP7 Good Practice Recommendations The daily records would benefit from the use of descriptive words to reflect and show peoples choices, preferences , likes and dislikes (on the nursing unit and the unit looking after people who have Dementia) An increase of use of descriptive words in the daily records would reflect and show peoples choices, preferences and any decisions they make about their daily lives. For the comfort and benefit of people using the service the unpleasant odour in the ground floor visitor’s toilet should be investigated and eliminated. The views of other visitors and in particular Social Workers and Healthcare professionals on the care provided by the home should by actively sought 2 3 5 YA14 YA30 YA39 Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 26 6 OP33 The views of visiting healthcare professionals and visitors should be sought regarding the quality of care provided by the service and the information collated and a report provided. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 27 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. Extracts may not be used or reproduced without the express permission of CSCI. Hemsworth Park Care Centre DS0000006188.V353714.R01.S.doc Version 5.2 Page 28 - 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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