Inspection on 05/08/05 for Heyberry House

This inspection was carried out on 5th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Heyberry House 21/08/07

Heyberry House 06/03/07

Heyberry House 18/03/06

Heyberry House 09/02/05

Heyberry House 29/09/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Heyberry House 3 Ashville Road Birkenhead Wirral CH41 8AU Lead Inspector Beate Roth Unannounced 5 August 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Heyberry House Address 3 Ashville Road Birkenhead Wirral CH41 8AU 0151 653 3225 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) Anchor Trust Mrs Joan McKevitt PC Care Home 41 Category(ies) of OP - Old Age - 41 registration, with number of places Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 9th February 2005 Brief Description of the Service: Heyberry House is a purpose built three storey residential home that is registered to provide personal care for 41 older people. All bedrooms are single occupancy with en-suite facilities. There is one large lounge/dining room and a conservatory on the ground floor. In addition, there is a seating area off the corridors on each floor of the home. Specialist bathing facilities are provided in the home and a passenger lift services all floors. There is a garden/patio area at the rear of the home which overlooks the park. Parking is available at the front of the building. The home is situated in the Birkenhead Park area of Wirral close to Claughton village and Birkenhead town centre, it is serviced by both rail and bus services. Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over half a day. During the inspection time was spent in the office examining records and policies and procedures and talking to the manager. A tour of the home was undertaken. Staff were observed delivering care to residents. The inspector spoke to residents and to staff. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 and 5 The processes in place for assessing new residents ensure that their needs will be met and that they are provided with information on which to make a decision as to the suitability of the home. EVIDENCE: The records relating to three residents who have come to live at the home since the last inspection were examined. Each resident has a contract that contains all the required information. Residents are admitted on a 6 week trial basis. The records provided evidence of appropriate assessments being carried out before new residents move to the home. There was also evidence that information is gathered from social workers and health professionals to inform the assessment. The manager or deputy undertake the initial assessment of prospective residents. During the first 6 weeks at the home further assessment of a residents’ needs takes place which provides the basis for ongoing care planning. A review of the service provided and whether it is suitable takes place after the first 6 weeks of living at the home. Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 8 Inspection of records and discussion with the manager confirmed that prospective residents are able to visit the home on an introductory basis. During these visits they can meet staff and current residents and view the home. Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 9 and 11 The needs of residents are well supported by the care planning processes in place at the home. In general, the homes policies and procedures around the management of medication ensure that the welfare of residents is promoted. EVIDENCE: A sample of residents records were looked at and indicated that residents have a care plan in place to ensure that staff are able to meet their identified needs. Care plans are produced on admission, and are reviewed after six weeks. At six weeks an individual lifestyle agreement plan is produced which provides the staff team with detailed information with regard to the care needs of the resident. The individual lifestyle agreement is produced with the input and cooperation of the resident. Risk factors are identified and when required management plans are put in place. Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 10 The home has policies and procedures in place in relation to the management and administration of medicines. The medication management system in place at the home is due to change and the homes medication procedure will need to be amended accordingly. The home provides secure medicine storage facilities. Staff that administer medication have received medication training. A sample of medication administration records were inspected. The procedure for administering one type of medicine was not included on the medication administration record. The controlled drugs records were checked against stock held and were not found to tally. The reason for this was identified during the inspection and rectified. The home had a detailed policy and procedure in place with regard to the death of a resident. Examination of the individual lifestyle agreements indicated the service users’ spiritual needs and their wishes regarding death were ascertained. Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 The daily routines at the home and activities on offer ensure that the preferences of residents are provided for. The home ensures that the social and emotional needs of residents are promoted by maintaining community links and encouraging visitors. EVIDENCE: The activities board situated in the main hallway on the ground floor, information held in the individual lifestyle agreements and discussion with residents and staff indicated that the home’s routine was flexible and met residents’ expectations, as much as possible. The views of residents are sought about the activities to be provided. Staff were observed to speak to residents in a respectful manner and knocked at bedroom doors before entering. Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 12 The individual lifestyle agreement details the key relationships residents wished to maintain and the community based activities they were involved in prior to living in the home. The home operates an open door policy to visitors. This visiting policy was displayed in the entrance hall and in the home’s brochure. During this inspection, the residents who were spoken with said they felt their visitors were made to feel welcome. A number of visitors were observed visiting the home during the inspection and were greeted warmly by the staff. Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 The home has a satisfactory complaints system with evidence that the views of residents and their representatives are listened to and acted upon. EVIDENCE: The home has a detailed complaints’ procedure. On admission to the home, each service user is given a copy. A record is made of any complaints received. An examination of this record indicated that there had been two complaints since the last inspection, which had been responded to in a timely and satisfactory manner. A discussion with the manager indicated that any complaint made by a service user is taken seriously and handled in a sensitive, thorough and non-biased manner. During the inspection, the service users who were spoken with confirmed that they would be confident to approach the registered manager or other senior members of the management team, if they had a complaint or concern about the service. Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 25 and 26 The home is well maintained and there is a good standard of cleanliness and hygiene, providing residents with a pleasant environment to live in. EVIDENCE: A tour of the home was undertaken. This included an inspection of the communal areas and a sample of the bedrooms. This indicated that the home is well maintained and decorated to a high standard. There is a rolling programme of re-decoration and refurbishment. The home was clean and fresh smelling. The home employs domestic and maintenance staff. All radiators have thermostatic controls fitted to them and thermostatically controlled mixer valves have been fitted to sinks in residents’ bedrooms and communal bathrooms and toilets. Covers had also been fitted to all electric storage heaters to prevent service users being burnt or injured. Since the last inspection steps have been taken to prevent the risks presented by water that could exceed 43 degrees centigrade in one bedroom. Appropriate laundry facilities are provided by the home. Preferred laundry routines are discussed with residents and documented in the individual lifestyle Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 15 agreement. Procedures relating to COSHH and protective clothing are available for domestic staff. Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 29 The needs of residents are met by the numbers and skill mix of staff. The recruitment practices at the home safeguard the welfare of residents. EVIDENCE: The rota and a discussion with the staff and the manager indicated that there are sufficient numbers of staff to meet the needs of the residents living at the home. There is a clear staff structure in the home that includes the manager, deputy manager, senior care staff, care staff and ancillary staff. Of the 21 care staff employed 12 staff have achieved an NVQ in Care of the Elderly. The home therefore has over 50 of staff with a care qualification. Further staff are undertaking this qualification. The records of 3 new members of staff who have been employed since the last inspection were examined. In general, these records were very well maintained and contained all the required information. A reference for one member of staff could not be located during the inspection. This was sent to CSCI following the inspection. Residents are involved in the recruitment of new staff and form part of the interview panel. Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36 and 38 Residents are supported and protected by the homes policies and procedures for maintaining a safe environment and by appropriately supervised staff. EVIDENCE: The records and a discussion with the manager and staff indicated that the home has a supervision policy and a supervisory system is in place. All supervision sessions are documented and any issues raised are dealt with, in the first instance, through the companies’ training provision. The frequency for providing supervision meets the National Minimum Standards. Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 18 A sample of safety check records and certificates and maintenance contracts were seen and found to be in order. Anchor Trust carries out a health and safety inspection annually. Training records showed that staff are given appropriate training in safe working practices. There are policies and procedures and risk assessments in place to support and promote safe working practices. The records of accidents were being appropriately maintained. Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 2 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 x 15 x COMPLAINTS AND PROTECTION 4 x x x x x 3 4 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x 3 x 3 Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 20 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard 9 9 Regulation 13 13 Requirement Timescale for action 05/08/05 An accurate record of the amount of controlled drugs held must be maintained. The procedure for administering 05/08/05 medication as directed in the patient information leaflet must be recorded in the administration of medication records. 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 Good Practice Recommendations Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 3rd Floor 10 Duke Street Liverpool L1 5AS 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 Heyberry House F52 F02 S0000018894 Heyberry House V244332 050805 Stage 4.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!