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Inspection on 30/12/05 for Heyfields Nursing Home

Also see our care home review for Heyfields Nursing Home for more information

This inspection was carried out on 30th December 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

The previous requirement had been met and recommendations taken on board.

What the care home could do better:

No requirements or recommendations were raised as a result of this inspection.

CARE HOMES FOR OLDER PEOPLE Heyfields Nursing Home Tittensor Road Barlaston Stoke On Trent Staffordshire ST12 9HQ Lead Inspector Lynne Gammon Unannounced Inspection 30th December 2005 14:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Heyfields Nursing Home Address Tittensor Road Barlaston Stoke On Trent Staffordshire ST12 9HQ 01782 373584 01782 374001 heyfieldshouse@tesco.net 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) North Staffs Residential Homes Limited Mrs Sharon Tracy Jones Care Home 35 Category(ies) of Dementia - over 65 years of age (1), Physical registration, with number disability (35), Physical disability over 65 years of places of age (35), Terminally ill (4) Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 35 Physical Disability (PD) over 60 years only Currently providing 6 Day Care places TI over 60 years only Date of last inspection 26th July 2005 Brief Description of the Service: Heyfields is a care home providing residential and nursing care for up to 35 elderly service users. This includes care for one service user with dementia care needs, care for service users over the age of 60 years with physical disabilities and palliative care for four terminally ill patients. Mrs Beverly Warren, as North Staffs Residential Homes Limited privately owns the home. The home is located in a rural position on the outskirts of the village of Barlaston between Stone and Trentham in mid Staffordshire. There are no amenities within the immediate vicinity but Barlaston village centre is a short drive away where there are a limited number of amenities. The home is part purpose built and part original building. The home is set back off the road and is reached via a driveway. There is ample car-parking facility at the entrance car park. Gardens are accessible around the home to service users including wheelchair users. The home overlooks countryside on all aspects and there are stables located immediately next door owned by the proprietor. The accommodation provides for 31 single bedrooms and 2 double bedrooms. All bedrooms, apart from 1 single room, have en suite facilities. There is ample provision of communal and seating areas around the home. Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit was made on the 30th December 2005 at 2.00 pm. The inspection was carried out by one inspector who used the National Minimum Standards for Older People as the basis for the inspection. The total time spent for the inspection, including pre and fieldwork, amounted to 6 hours. The inspection included a tour of the building, inspection of records, observation, and discussions with service users, registered providers and staff. What the service does well: What has improved since the last inspection? The previous requirement had been met and recommendations taken on board. Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 6 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. Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 4. Potential service users received detailed information about the home and the service it provided to enable an informed choice to be made about the suitability of the home for them. Each service user had a contract with the home and they were assured that the home could meet their assessed needs before moving into the home. EVIDENCE: The inspector examined the home’s Statement of Purpose and Service User Guide. The literature was held within a colourful, professional looking folder and found to contain all of the required elements to provide service users with a clear understanding of the service provided at Heyfields Nursing Home. This included: a copy of the recent inspection report, history of the home, number and type of rooms, age range accepted, staff qualifications, training courses completed, activities available, religious services, visiting times etc. A service user’s contract was also inspected and contained details of the terms and conditions of residency. These included: fees and the scope of the fees, Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 9 those items/services not included in the fees, termination conditions, retention of the room, philosophy of care, resident’s charter and a copy of the complaints and concerns procedure. The inspector was shown a letter which was sent to service users as confirmation that the home could meet their needs prior to their moving in. Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 11. The care planning processes were clear and detailed to enable staff to have a full understanding of service user’s needs. All health care needs were met and service users had access to a range of health professionals. Service user needs in terms of death and dying were treated with dignity, sensitivity and care. EVIDENCE: Individual care plans were examined and seen to include all aspects of health, personal and social care. They were detailed and informative enabling staff to have a clear understanding of needs, how those needs should be met and were reviewed monthly. Risk assessments were carried out for each individual service user and also reviewed monthly. These included pressure sore risk assessment, nutritional risk assessments etc. Records evidenced that service users received visits from other health professionals and that health care needs were assessed and met very well. Matron confirmed that a palliative care plan would be completed when a service user reached the end of their life as appropriate to their needs and documentation seen evidenced this also. Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 All key standards were examined at the last inspection and were met well. EVIDENCE: Service users confirmed that a range of activities remained in place for them at the home and they were supported and enabled to make their own choices and decisions about their day-to-day lives. At this inspection, it was noted that the social care needs of the service users were set out in individual care plans. These were examined by the inspector and seen to be very detailed and well documented. Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18. The home had a satisfactory complaints procedure and service users confirmed that their views were listened to and acted upon. Service users were supported to participate in the electoral process and were protected from abuse by the home’s Adult Protection procedure and staff training. EVIDENCE: The home had a comprehensive complaints procedure, however no complaints had been received by the Commission about the home since the last inspection. Service users confirmed that they were confident that if they did have any issues, the providers, Matron and staff would all do their best to resolve them as quickly as possible. The provider confirmed that service users were enabled to exercise their legal rights directly and were supported by staff to participate in the electoral process if they so wished. The providers and management of Heyfields Nursing Home had recently reported allegations from service users regarding psychological abuse which were investigated prior to the inspection via the Protection of Vulnerable Adults procedure. All key agencies had been involved in this investigation, including CSCI and appropriate action was taken to prevent service users from being at risk of abuse. The provider and the management within the home were to be commended for ensuring the on-going protection of the service users. Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23 and 25. Service users lived in safe, well-maintained surroundings and bedrooms suited their needs. EVIDENCE: The home was immaculately maintained both externally and internally, and safe and accessible for the benefit of the service users. Room dimensions and layout ensured flexibility of access for carers and any equipment required. The home was very clean throughout and service users lived in safe and comfortable surroundings where rooms contained covered radiators, smoke alarms and emergency lighting. Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 30. Staff numbers and skills were satisfactory to meet the needs of the service users. Staff were trained and competent to carry out their roles and responsibilities. EVIDENCE: Staffing levels were examined and on the day of the inspection, Matron was on duty from 8.00 am to 8.00 pm plus 5 carers in the morning, 3 carers in the afternoon and 1 registered nurse plus 2 carers on night duty. In addition to this, there were: 2 cooks (one covering the morning shift, one covering the evening shift), 1 kitchen assistant, 2 domestics, 1 laundry assistant and a handyman. These staffing levels were found to be satisfactory to meet the needs of the service users living in the home. The registered providers were also working within the home all day. The inspector examined the records of the type and frequency of training undertaken by the staff within the home. Training records included the following: blood pressure training 20.05.05, moving and handling 25.05.05, fire safety training March 05, continence training in January and February 05, caring for the dying on 19.10.05, First Aid in March and April 05, oxygen therapy in October/November 05 etc. Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34, 35, 37 and 38. The registered care manager was fit to be in charge, responsible and of good character. Financial procedures were robust to protect service user’s financial interests. Records held were accurate and secure and the health, safety and welfare of service users and staff were upheld and protected. EVIDENCE: The Matron was the registered care manager for the home and had worked at Heyfields Nursing Home for many years after qualifying as a registered nurse 14 years ago. Through additional training, she had achieved: the Diploma in Performance Coaching which is considered equivalent to the Registered Manager’s Award, D32 and D33 Assessor’s Award, K269 Death and Dying through the Open University and was the designated Quality Manager for the home. She was very experienced in managing her responsibilities and staff to meet the needs of the service users in the home and service users benefited from her open approach. Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 16 Records of service user’s personal allowances were examined and found to balance with monies held. Receipts were seen for every financial transaction undertaken in the home and when responsibility for valuables transferred from service user or relative to the home and vice versa. Records for the protection of service users, individual records and home records were seen to be secure, up to date and in good order. Policy and procedural documentation was inspected and the inspector was impressed with the quality and range of these and noted they were reviewed regularly as part of the quality management system in place within the home. The inspector examined a range of records and documentation, which evidenced that the health, safety and welfare of service users and staff were protected. Fire safety records showed that the fire alarms and fire extinguishers service took place on 06/06/05. Other records included: a boiler service on 13/06/05, a 10 year electrical installation inspection undertaken on 30/05/01, appliance testing pass certificate on 17/02/05, hoists checked on 08/09/05, nurse call system checked and tested 22/07/05 and a certificate of disinfection from May 05 providing evidence that the water tanks had been cleaned and disinfected. Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 3 X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 4 4 X X X 3 X 3 X STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X 3 3 X 3 3 Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 18 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. Refer to Standard Good Practice Recommendations Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Heyfields Nursing Home DS0000022338.V278573.R01.S.doc Version 5.1 Page 20 - 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!