Inspection on 25/10/06 for Hemsworth Park Care Centre

This inspection was carried out on 25th October 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

Hemsworth Park Care Centre 01/11/07

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 25th October 2006 8:00 Hemsworth Park Care Centre DS0000006188.V316833.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.V316833.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.V316833.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 hemsworth.park@ashbourne-homes.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) Mrs Pauline Mountford 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.V316833.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. 16th January 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 18th October 2006 the returned pre inspection questionnaire said that the fees for living in the home ranged from £359.00 to £423.00 per week plus £10.00 for Chiropody and hairdressing starting at £4.10. Information regarding the services provided and the fees charged 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.V316833.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home is registered to look after older people and younger adults under the age of 65 years. This visit to the home considered both sets of standards for Younger Adults and for Older People and both will be referred to in this report. The visit to the home commenced at 08.00 and ended at 15.00. The judgements made in the report are based on evidence gathered both before and during this visit to the home. During this visit there was the opportunity to look at eight service users records, two off each unit, which included assessments, care plans, medical and daily records. Six staff records including job applications, references, CRB and POVA check, training and supervision records. There was also the opportunity to speak to service users, the new registered manager, deputy manager, unit managers, nurses, care staff, housekeeper, laundry assistants and handy man. There was also the opportunity to view service users and relatives quality assurance surveys and to talk to one visiting relative. It was noted that the home continues to meet all statutory requirements and most minimum standards. What the service does well: Service users records show that the assessment and care planning systems in the home are good and in particular the daily records which contain descriptive words to show and reflect service users choices, preferences likes and dislikes. The home is decorated and maintained to a good standard and on the day of the visit some service users were observed relaxing in their bedrooms which are personalised, homely and comfortable. One service user said that he likes his room and has everything he needs. Others were sat relaxing in the lounges and others sat in the dining rooms talking. Good relationships were observed between service users and staff who have a very positive attitude towards the people they care for. Staff said that they feel supported in their work and were observed throughout the visit to be available in sufficient numbers to meet service users needs in a relaxed and unhurried manner. Activities are organised for those who wish to attend and a record is kept. A programme of planned activities is displayed around the home on a regular basis. The menus show that service users have choices and residents said that the meals are good. There is a café provided for the use of service users and their relatives. The minutes of the residents and relatives meetings show that they have the Hemsworth Park Care Centre DS0000006188.V316833.R01.S.doc Version 5.2 Page 6 opportunity to comment on the running of the home. The homes quality assurance questionnaires returned from service users and their families show that they are asked their opinion about the quality of care provided by the service. What has improved since the last inspection? What they could do better: The pre inspection questionnaire shows that out of 57 care staff employed only 14 are NVQ trained which is only 16 of care staff. The new registered manager said that there has been a problem previously with finding NVQ trainers, however, the organisation is committed to providing NVQ training and the shortfall will be rectified. She also said that she is currently signed up to do the Registered Managers Award NVQ Level 4. The manager said that 10 quality assurance questionnaires have been sent to Doctors Surgeries and District Nurses but none returned. Hemsworth Park Care Centre DS0000006188.V316833.R01.S.doc Version 5.2 Page 7 However, the views of visiting healthcare professionals and social workers should still actively be sought regarding the quality of care provided by the home. During a tour of the building a few minor repairs were noted and in particular wheelchair damage to some bedroom door frames, the paper boarder on one bedroom wall needs re-fixing, and marks on the YDU dining room wall need cleaning and redecorating. 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.V316833.R01.S.doc Version 5.2 Page 8 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.V316833.R01.S.doc Version 5.2 Page 9 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): Standards looked at; 2 (Younger Adults) 3 & 6 (Older People) All prospective service users personal and healthcare needs are assessed before they are admitted to the home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of eight service users records show that their personal and health care needs are assessed before they are admitted to the home. A sample of those admitted with a diagnosis of dementia have a Mental Health Assessment completed by the placing authorities. The new manager said that those wanting to live in the home and who are without an Integrated Community Assessment carried out by the local authority or primary healthcare trust are assessed by herself or a qualified nurse. Hemsworth Park Care Centre DS0000006188.V316833.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): Standards looked at 6,7 & 9 (Younger Adults) and 7,14 & 33. Service users personal and healthcare needs are reflected in their care plans and all residents have the opportunity to have a say in how they live their lives. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of service users care plans and reviews show that they are involved, wherever possible, in developing and reviewing their own care plans. The minutes of the service user and relatives meetings show that they have the opportunity to influence what happens in the home. The homes returned quality assurance survey questionnaires from service users and their relatives’ show that they can comment on the quality of the services provided. The daily records contain descriptive words to reflect and show residents choices, preferences likes and dislikes on a day to day basis. Throughout this visit to Hemsworth Park Care Centre DS0000006188.V316833.R01.S.doc Version 5.2 Page 11 the home residents were observed expressing choices and preferences. Positive relationships were observed between service users and staff who advised and assisted residents to make decisions about their daily lives. The new manager said that some service users are very able and are self determining. Other less able service users are more dependant on their relatives or key-workers. Records show that some have multidisciplinary reviews and receive visits from Social Workers and District Nurses. The minutes of the service user and relatives meetings show that they have the opportunity to comment on what they do and what happens to them. Discussion with one service user found him to be very vocal and aware of how the home runs and what opportunities he has to influence how he lives his life. His daily records and the minutes of the residents meetings show that he does have a say in what happens to him and in the general the running of the home. Hemsworth Park Care Centre DS0000006188.V316833.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): Hemsworth Park Care Centre DS0000006188.V316833.R01.S.doc Version 5.2 Page 13 Standards looked at 12,13,15,16 & 17 (Younger Adults) and 10,12,13 & 15 (Older People). Service users have opportunities for personal development and are encouraged to participate in ordinary community based leisure activities. Positive relationships are encouraged including links with families and significant others. In house activities are arranged for those who wish to attend and a wholesome and balanced diet is provided in pleasant surroundings. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with service users, the manager, the menus and daily records show that service users have a choice of meals and that the meals provided are good. The returned service user quality assurance questionnaires show that they like the meals provided. The daily records also show that service users often change their minds and that an alternative menu is provided. This practice is to be commended. It was also noted that some have a small refrigerator in their rooms with drinks and other snacks of their choice. Records show that some are able to take advantage of local shops, the post office and public houses independently. Others take advantage of organised trips and outings. The home has two mini busses which are in constant use and the record of activities and notice boards show that a full rage of external and in house activities are arranged for those who wish to participate. The home provides a small café for the use of service users and their relatives and visitors to socialise and make hot drinks and snacks. Hemsworth Park Care Centre DS0000006188.V316833.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): Standards looked at 18,19 & 20 (Younger Adults) and 8,9 & 10 (Older People) All service users healthcare needs are met by the home and District Nurses, Social Workers and the Community Mental Health Team also support others. The policies, procedures and practices governing the ordering, storage, administration and recording of medicines ensure the safety of service users. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The pharmacists audit report shows that the home has recently changed the medication administration system to that provided by Boots. The new manager said that the system is easier and simpler to use. The report dated 31st May 2006 indicates that the system is safe and being used correctly. The manager said that only staff that has been trained to do so could administer medicines. Observation of the medicine round showed that this was done correctly and sensitively. Hemsworth Park Care Centre DS0000006188.V316833.R01.S.doc Version 5.2 Page 15 Reading the homes returned service users questionnaires and discussion with service users show that they are happy with the care provided by the home. Examination of eight residents case files including risk assessments and medical records show that their health care needs are assessed and planned for. Records also show that over the past six months all service users have had a visit from the Optician, Dentist and Chiropodist. Records and discussion with the new registered manager also show that one General Practitioner holds a monthly surgery in the home. This practice is to be commended. Two service users records, who suffer with Dementia, show that they have a mental health assessment and that the mental health team supports them. Staff training records show that staff on this unit have training in caring for people with Dementia. Staff’s training records also indicate that staff receive training in Palliative Care, Pressure Care, Moving and Handling and Fist Aid. Hemsworth Park Care Centre DS0000006188.V316833.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): Standards looked at 22 & 23 (Younger Adults), and 16-18 and 35 (Older People). Service users and their elatives know how to make a complaint and know that their views will be listed to and acted upon. Service users are protected from abuse, neglect and self-harm. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The returned homes service user and relatives surveys show that they know how to make a complaint. The record of complaints shows that residents and their relative’s comments are taken seriously and acted upon. The Pre inspection questionnaire shows that the home has received three complaints since the last visit to the home. The complaints record shows that these complaints were adequately recorded and acted upon. The home uses the Wakefield Social Services and Health Adult Abuse and Protection policy and procedure and adult abuse forms part of the induction training for all staff. Staff training records indicates that all staff receives POVA training. Discussion with staff indicates that they know what constitutes adult abuse. The new registered manager said that the home welcomes complaints and that they are viewed positively. Hemsworth Park Care Centre DS0000006188.V316833.R01.S.doc Version 5.2 Page 17 The staff selection and recruitment procedures and practices ensure that service users are safeguarded and protected from abuse. The six staff records seen indicate that appropriate CRB and POVA checks are completed before they are employed. Hemsworth Park Care Centre DS0000006188.V316833.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): Standards looked at, 24 & 30 (Younger Adults) and 19 & 26 (Older People). Service users benefit from living in a well decorated and well maintained home which is comfortable, safe and clean. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home found it to be well decorated, well maintained and clean. Discussion with the Housekeeper found that the home employs eight domestics and she feels that this is sufficient to keep the home clean. Discussion with the handyman showed that the minor remedial work noted on this visit had already been identified and was awaiting attention. Although not inspected on Hemsworth Park Care Centre DS0000006188.V316833.R01.S.doc Version 5.2 Page 19 this occasion some bedrooms were seen and were found to be personalised, homely, comfortable and clean. A number of improvements were noted and in particular to the front garden which is well maintained. New dining room tables and chairs have been provided and three corridors decorated in themes chosen by service users and their relatives. There is a café provided with hot drink making facilities on the upper floor for the use of service users and their relatives. The home also provides a Reminiscence room decorated with 30’, 40’s and 50’s furniture. There is also smoke room provided for service users. The unit catering for those with dementia has been re-decorated and service users rooms have a number, a letterbox and doorknocker. Hemsworth Park Care Centre DS0000006188.V316833.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): Standards looked at 32,34, & 35 (Younger Adults) and 27,28,29 & 30 (Older People). Service users are supported and their care needs are met by an effective staff team. However, service users may benefit by having more care staff NVQ trained. Service users are safeguarded and protected by the staff selection and recruitment policies and practices. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Eight staff records show that appropriate checks are completed before staff are employed and include Police and Protection of Vulnerable adults list. The staff rotas show that there is a mix of trained and untrained staff on duty at all times. Enough staff was observed to be available to meet the needs of service users in a relaxed and unhurried manner. Discussion with nurses and care staff Hemsworth Park Care Centre DS0000006188.V316833.R01.S.doc Version 5.2 Page 21 found that they have a good insight into the needs of younger disabled adults and older people. Staff training records show that all staff caring for those with Dementia have received appropriate training. The Pre Inspection Questionnaire shows that only 17 of care staff has been trained to NVQ Level 2 or above. The new manager said that the organisation is committed to training and all care staff is currently registered on NVQ training courses. Throughout the visit positive relationships were observed between service users and care staff. The returned relatives and service users quality assurance questionnaires show that they are happy with the care provided by the home. One service user said that the “staff are great”. Another said that “staff are very kind” and that “nothings to much trouble”. One new staff member said that service users are “great” and that she enjoys her work “very much”. Hemsworth Park Care Centre DS0000006188.V316833.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): Standards looked at 37,39 & 42 (Younger Adults) and 31,33,35 & 38 (Older People). Service users live in a well run home where their views underpin all selfmonitoring, development and review. Service users and staff are safeguarded and protected by the health and safety policies procedures and practices. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Hemsworth Park Care Centre DS0000006188.V316833.R01.S.doc Version 5.2 Page 23 EVIDENCE: The home has a new registered manager who is nurse trained and experienced in managing the care centre. The minutes of service user and staff meetings show that they are involved in the running of the home. The returned relatives and service users quality assurance surveys show that they have the opportunity to comment on the quality of the services provided. The manager said that she was disappointed in the amount of surveys returned. Out of sixty given to service users only 19 were returned (32 ) and out of the sixty sent to relatives only 16 were returned (27 ). The manager said that the home was disappointed as none of the ten questionnaires sent to GP surgeries and District Nurses had been returned. She went on to say that all of the surveys returned were very positive. The report provided reflected the positive comments made by service users and their relatives. The manager said that she undertakes a monthly quality assurance audit and that her line manager carries out a monthly Regulation 26 visit to the home. The pre inspection questionnaire shows that appropriate health and safety checks are carried out on a regular basis and include fire alarm tests, emergency lighting, service of the passenger lifts and hoists. Staff training records show that fire, health and safety, moving and handling and first aid training is provided for staff. Hemsworth Park Care Centre DS0000006188.V316833.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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 2 40 X 41 x 42 3 43 X 3 3 3 3 3 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.V316833.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. 2 3. 4 5. Refer to Standard OP19 YA24 YA32 OP28 OP33 YA39 Good Practice Recommendations The minor remedial work to the dining room and bedroom walls identified should be completed as soon as is practicable. A minimum of 50 of care staff should have a National Vocational Qualification Level 2 or above. A minimum of 50 of care staff should have a National Vocational Qualification Level 2 or above. The views of other stakeholders such as G.P’s and District Nurses on the quality of care provided should continue to be actively sought The views of other visitors and in particular Social Workers and Healthcare professionals on the care provided by the home should by actively sought DS0000006188.V316833.R01.S.doc Version 5.2 Page 26 Hemsworth Park Care Centre Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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. 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