Inspection on 22/06/05 for Hemsworth Park Care Centre

This inspection was carried out on 22nd June 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

Hemsworth Park Care Centre 01/11/07

Hemsworth Park Care Centre 25/10/06

Hemsworth Park Care Centre 16/01/06

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 OLDER PEOPLE Hemsworth Park Wakefield Road Kinsley Wakefield WF9 5EA Lead Inspector Tony Railton Unannounced 22 June 2005 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 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 J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hemsworth Park Address Wakefield Road Kinsley Wakefield WF9 5EA 01977 617374 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) Exceler Healthcare Ltd Mr Kevin Gray Care Home & Nursing 93 Category(ies) of Older People 39 (OP), Phyisically Disabled 54 registration, with number (PD), Terminally Ill 3 (E), Terminally Ill 3 (YA) of places Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1, The 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 dependant service users. Date of last inspection 19 January 2005 Brief Description of the Service: The Hemsworth Park Care Centre continues to povide accommodation , personal and nursing care to 54 younger adults who have a physical disability and 39 older people, 3 of which 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 are two small kitchenettes provided for more independant 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. 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. Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector arrived early for this unannounced inspection. At 08.30 the inspector took the opportunity to observe residents daily routines with most relaxing and enjoying their breakfast. This was a very positive and enjoyable inspection and the inspector would like to take the opportunity to thank the residents, manager, care manager, unit managers, nurses and ancillary workers for their patience and co-operation throughout the inspection which concluded at 15.00. The home is inspected to The Minimum Standards for both Older People (OP) and Younger Disabled Adults (YA) this report will show the inspection outcomes for both categories. What the service does well: What has improved since the last inspection? The home has a new manager. Both residents and staff spoken to said that they liked the new manager as he talks to them and listens to what they say. The home has new automatic doors on the front entrance to help those who are wheelchair dependant. One electric wheelchair user said “its much better I can get in and out by myself without anyone’s help” Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 6 There are two part time activity co-ordinators and activities and outings are organised for those who wish to participate. Staff turn over has slowed down and residents are benefiting from having continuity of staff and being cared for by people that know them. 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. Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6-10 and 18–21) (Standards 11–17) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37–43) Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. 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. Prospective service users have an opportunity to “test drive” the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 & 6 (OP) & 2 (YA) Older People; All residents have their care needs assessed before admission to make sure that their personal and healthcare needs can be met by the home. Younger Adults; All younger adults have their personal and healthcare needs assessed before they are admitted to ensure that their physical and mobility needs can also be met. EVIDENCE: Residents case files show that assessments are carried out to ensure that their care needs can be met. Most younger adults are quite able and they are involved in writing their own assessments. Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 9 Some have signed their assessments to show that they have been involved. Records also show that nutritional and moving and handling assessments are also carried out to identify individual residents choices and preferences and ensure their safety. Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6-10 and 18 –21 (Adults 18-65) 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. Including their physical and emotional health needs. 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. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. Service users receive personal support in the way they prefer and require. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 7, 9, 18, 19 and 20 (Adults 18-65) are 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 (OP) and 6,7,& 9,18, 19 & 20 (YA) Older People; Care plans are in place to ensure that residents’ personal, social and health care needs are met, and have choices about how they live their daily lives Younger Adults; The daily recording systems do not show that residents’ have a choice or have an influence in the way that they live their lives. Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 11 EVIDENCE: Older People; The residents’ case files seen show that their care is planned. They also show that they are looked at every month to see that the plans are still working or if they need to be changed. The daily records seen show that residents’ choices and preferences are taken into account and that staff listen to what they have to say and act upon it. Observation of the administration of medicines demonstrated that medicines are given safely. Younger Adults; Although some of the care plans seen have been agreed and signed by some residents, and staff were observed asking residents what they wanted to do, the home is not documenting residents choices, preferences or decisions they make on a day to day basis. The minutes of the residents meetings show that they do not happen very often. The inspector observed positive relationships between staff and residents who were treated with respect and dignity. Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 11 – 17 (Adults 18-65) are: 12. 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. Including opportunities for personal development. Service users engage in appropriate leisure activities. Service users maintain contact with family/ friends/ representatives and the local community as they wish. And have appropriate personal, family and sexual relationships. 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. 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15, 16 and 17 (Adults 18-65) the 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 (OP) and 12,13,15,16 & 17 (YA). Older People Activities are organised on a regular basis for those who wish to participate and residents are helped to exercise choice and control over their lives, however, the system of recording activities does not capture this good work. Younger Adults; Activities are planned but often do not happen. Residents’ views are sought regarding activities, however, they do not perceive that their views are listened to or acted upon. EVIDENCE: Older People; Examination of the activities and some daily records and discussion with the activities organiser it was found that a range of activities are arranged and offered to residents. However, they also showed Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 13 that more information is needed to reflect residents’ choices including when they choose not to participate. Discussion with some residents, the cook, kitchen assistant and observation of residents having breakfast and lunch showed that the meals are generally good and enjoyed by residents. Younger adults; Discussion with some residents and the manager found that sometimes the activities displayed on the notice board do not take place. One resident pointed out that the outing planned for today was cancelled due to the mini bus not being available. The new manager said that this is been addressed and more activities and outings will be available in the future. The daily records and record of activities do not show that residents are consulted regarding the amount and choice of activities provided. Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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. Including neglect and selfharm. The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 (OP) and 22 & 23 (YA) Older People; The home has a complaints system which is available and accessible to residents and their families. Younger Adults; The home has a satisfactory complaints system with some evidence that service users feel that their views are listened to and acted upon. EVIDENCE: Older People and Younger Adults; Discussion with the manager, care manager unit heads and examination of the complaints records show that the home has had five complaints since the last inspection which appear to have been appropriately dealt with. Staff training records show that the complaints policy and procedure forms part of the training for new staff. The Adult Abuse and Protection Policy and procedure also forms part of the training for all staff and shows that residents are protected from neglect and abuse. Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 15 Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) 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. Shared spaces complement and supplement service users’ individual rooms. Service users have sufficient and suitable lavatories and washing facilities. Provide sufficient privacy and meet their individual needs. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. And lifestyles. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 26 (OP) & 24 & 30 (YA) Older People; Generally residents benefit from living in homely and comfortable surroundings, however, some areas could be improved for the benefit and comfort of residents. Younger Adults; Residents have their own bedrooms as they want them, and there have been improvements to the home however, there is some work needed to make the home more homely for residents. Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 17 EVIDENCE: Older people; Inspection of the bedrooms showed that residents live in homely and comfortable rooms surrounded by their own possessions. However, two bedrooms were seen to require some minor remedial work to scratches on the walls to make them more homely. Inspection of the lounges and dining rooms showed that most residents enjoy shared space which is homely and comfortable. Marks and stains were, however, noticed on one dining room carpet. The manager said that all of the upper floor is going to be totally re-decorated and refurbished in the near future. Younger adults; Upon inspection it was noted that the home has new automatic doors on the main entrance. One resident with an electrically operated wheelchair said that it is much better as he does not need assistance to get in and out of the home. The care manager said that everyone has better access to the home since the automatic doors were fitted. There are some doors and corridors which have been damaged by wheelchairs. The manager pointed out two corridor doors fitted with protectors which appear to work and which he said he is going to introduce throughout to make it more homely for residents. Two residents said that the home does not have a garden for them to sit in. The care manager said that there are plans to move some of the car parking to the rear of the home and develop a garden at the front. Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 36 (Adults 18-65) are: 27. 28. 29. 30. • • • Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. 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. Service users benefit from clarity of staff roles and responsibilities. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28,29 & 30 (OP) and 32,34, 35, & 36 (YA) Older People; The procedures for the recruitment of staff are robust and offer safeguards and protection for residents, however, residents would benefit from being cared for by more trained staff. Younger Adults; There appears to be enough staff available to meet residents care needs in a relaxed and unhurried manner. EVIDENCE: Older People; Staff records showed that new staff have police checks and references taken to ensure that residents are protected. The care manager said that staff turnover is currently very low and residents are benefiting from continuity of care. Staff training records and discussion with the care manager showed that not many carers Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 19 have a National Vocational Qualification Level 2 or 3. The care manager said that there have been problems finding an assessor. Younger Adults; The staff training profile and discussion with the care manager showed that the majority of staff although registered on NVQ training courses but have not qualified. Residents spoken to said that staff at the home were kind and caring. Care staff were observed throughout the inspection fostering positive relationships with residents. Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 37 – 43 (Adults 18-65) are: 31. 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 a well run home and from competent and accountable management of the service. 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. Service users are confident their views underpin all self-monitoring, review and development by the home. 32. 33. 34. 35. 36. 37. 38. • The Commission considers standards 33, 35 and 38 (Older People) and Standards 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34, 35,36, 37 & 38 (OP) and 37,38,39 & 42 (YA). Older People; Residents benefit from living in a well run home, however, they do not appear to have the opportunity to comment on the way the home runs. Younger Adults; Residents appear happy living in the home and generally pleased with the care provided. However, they are not convinced that they are listened to or have much opportunity to comment on the services provided. Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 21 EVIDENCE: Older People; The home is currently without a registered manager. The manager said that he has sent his application to the CSCI but it was returned undelivered. He said he will re-send it to the commission. Staff and residents spoken to said that they liked the new manager. The care manager said that she has confidence in the new manager and that he knows what he is doing. The care manager also said that there are quality assurance questionnaires available for residents and visitors in the reception area. However, she did say that very few are used or returned to the home. She went on to say that she did not have anything to give the inspector which would reflect the views of residents on the way the home is run. Four letters from residents relatives showed that they were very happy with the care provided by the home. Younger Adults; The home has some very able younger residents who can give a good account of life in the home. However, those spoken to are not convinced that their views are taken into account. Two residents said that they were not asked their opinion about some recent changes to the home. Staff spoken to said that they felt more involved in the running of the home and that they can comment at the staff meetings. The manager said that he is aware of the need to gain and capture residents, relatives and other visitors views on the running of the home. Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 22 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 3 2 3 3 3 4 3 5 3 6 N/A HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 3 2 3 3 3 2 3 3 Score Standard No 7 8 9 10 11 Score 2 2 3 3 3 Standard No 27 28 29 30 3 2 3 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 2 15 3 COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 3 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 2 32 3 33 3 34 3 35 3 36 2 37 3 38 3 Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 23 N/A 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 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. 3. 4. 5. 6. 7. 8. 9. Refer to Standard YA7.4 YA8.1.2.3. 4 &.5 OP12.3 YA14.1 YA18.2 OP19.2 OP24.1 YA28. YA32.6 & Good Practice Recommendations Residents choices and preferences should be reflected in the day to day recording systems. Residents should be given opportunities to have a say in the running of the home and the outcomes recorded. Opportunities for residentsto participate in activities should be recorded to reflect residents choices and preferences. Residents have access to and choose from a range of appropriate leisure activities and a record made of their choices and preferences Residents preferences regarding how they want to be cared for or supported are taken into account and recorded. The manager should provide a programme of routine maintenance and renewal of the fabric and decoration of the premises. The minor remedial work needed in the two bedrooms identified should be carried out as soon as is practicable. The dining room carpet identified as having stains should be cleaned as soon as practicable. 50 of care staff should have a National Voactional J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 24 Hemsworth Park 10. 11. 12. 13. OP28.1 YA36 & OP 36 OP31 YA39.2 YA39.4 & 7 Qualification Level 2 or above. All staff should have a minimum of 6 line management supervision sessions per year and a record kept. The manager should submit his registration application to the CSCI as soon as practicable. An annual development plan for the home should be provided. The views of residents, their family, friends and other stakeholders should be sought and a report provide to reflect their views on the quality of care provided by the home. 14. 15. Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 25 Commission for Social Care Inspection Park View House Woodvale Office Park Brighouse HD6 4AB 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 Hemsworth Park J51J01_s6188_hemsworth park_v231460_220605.doc Version 1.30 Page 26 - 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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