CARE HOME ADULTS 18-65
Heywood Sumner House Cuckoo Hill South Gorley Fordingbridge Hampshire SP6 2PP Lead Inspector
Mr Roy Bega Unannounced Inspection 16th January 2006 10:00 Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 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 Heywood Sumner House DS0000055844.V274227.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 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. Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Heywood Sumner House Address Cuckoo Hill South Gorley Fordingbridge Hampshire SP6 2PP 01425 652350 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) manager.heywood@truecare.co.uk Truecare Group Limited Mrs Julie A Harris Care Home 12 Category(ies) of Learning disability (12), Mental disorder, registration, with number excluding learning disability or dementia (12) of places Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Service users may only be accommodated in category MD if they are also accommodated by reason of LD. There is a dispensation to accommodate two named service users in the MD category. 19th July 2005 Date of last inspection Brief Description of the Service: Heywood Sumner House is part of the Truecare Group managed by C.H.O.I.C.E. Ltd. The home is located in the rural village of South Gorley between the market towns of Fordingbridge and Ringwood. It provides accommodation for up to 12 residents who have a learning disability. The property is detached with car parking for several vehicles to the front of the building and well-maintained and accessible gardens to the side. Accommodation comprises of single bedrooms located on both the ground and first floor. There are two lounges and a dining area on the ground floor, together with various other facilities including an activities/games room. Mrs J Harris is the registered manager. Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This report summarises the assessment of the extent to which the National Minimum Standards for Care Homes for adults 18-65 were being met at the time of the inspection Standards not inspected on this occasion will be assessed during future visits. This visit took place on 16 January 2006 between the hours of 10-00 a.m. and 2 p.m., a total of four hours. Opportunity was taken to look around the home view records, observe the working environment and speak with residents and staff. It was noted that in December 2006, the home was presented with an “Investing in People Award”. All requirements raised resulting from the previous inspection have been met. The inspector was informed that more appropriate accommodation is being sought for a resident who’s assessed physical needs can no longer be met at Heywood Sumner House. Two requirements have been raised resulting from this inspection. What the service does well: What has improved since the last inspection?
New freezers have been purchased and relocated into the main building. A new alarm call system for use by staff in an emergency has been installed that has the function of enabling to distinguish where they are located. A washing machine with a sluicing facility to launder foul laundry has been obtained. Work has commenced in mondernising communal bathing facilities.
Heywood Sumner House DS0000055844.V274227.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. Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 8 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the standards in this section were inspected on this occasion. Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. 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. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the standards in this section were inspected on this occasion. Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 10 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the standards in this section were inspected on this occasion. Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. 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. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the standards in this section were inspected on this occasion. Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the standards in this section were inspected on this occasion. Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 13 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26, 28, and 29. The premises are suitable for its stated purpose. It is accessible, clean, safe and well maintained. Residents are encouraged to personalise their bedrooms. Specialist equipment requires to be installed to meet the changing needs of a resident. EVIDENCE: Residents are accommodated in single bedrooms. On this occasion a sample of 3 residents rooms were inspected. Bedrooms have required floor space, suitable furniture and fittings to meet individual needs and lifestyles. Residents readily showed the inspector their rooms and informed him about the ability to bring in personal “bits and pieces” to make it personal. Evidence was seen in the presence of photographs, posters, ornaments, televisions etc. A range of comfortable, safe and fully accessible shared space is provided. These include outdoor space proportionate to number of residents and staff, kitchen and laundry facilities. There are two lounges and a dining area on the ground floor, together with various other facilities including an activities/games room. Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 14 A requirement was raised resulting from the previous inspection for the installation of specialised equipment to meet the changing physical needs of a resident. The inspector was informed that after assessment more appropriate accommodation is being sought for the resident. Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 15 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. 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 32, 34 and 35 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, 33, 34 and 36. Residents benefit from clarity of staff roles and responsibilities. They are supported by an effective staff team who are well supervised by management. EVIDENCE: The inspector had the opportunity to speak with and observe staff on duty. They portrayed knowledge of specific residents disabilities with an appreciation of and ability to balance particular and complex needs of individuals and the group. Observations and discussions indicated that staff on duty had a clear understanding of their roles, limitations and responsibilities. Discussions with residents indicated that they have good relationships with current staff in the home stating that they listen, are helpful and supporting. Observations, discussions and available records indicated the home has an effective staff team with complementary skills and sufficient numbers to support current residents. At the time of the inspection eight care staff were in duty. During the visit staff went out on activities with residents. Discussions and rosta seen indicated eight staff are on duty from 8 a.m. to 4 p.m.,7 from 4 p.m. to 10 p.m. with three awake at night. Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 16 Discussions and available records indicated that that staff receive one to one recorded supervision meetings every month with their line manager. The inspector was informed that areas covered include, support and professional guidance, identification of training needs and monitoring work with individual residents. Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. 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 home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39, 42. Residents, benefit from a well run home. They benefit from competent and accountable management of the service and a self-monitoring review and quality assurance system. The health, safety and welfare of residents are positively promoted within the home. EVIDENCE: Observations and discussions indicated that management and staff are fully committed to ensure residents needs and wishes are met. Residents’ thoughts and opinions about what the home provides and how it is run are actively sought. Minutes of monthly residents meetings were seen. An annual review is held for each resident that is linked to the implementation of individual plans. During this process views of family, friends, advocates and professionals within the community are sought on how the home is achieving goals for residents. Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 18 It was noted that in December 2006, the home was presented with an “Investing in People Award”. It was noted that there is not a fire alarm detector in the designated smoking area. Mrs Harris assured the inspector that this would be brought to the attention of senior management within the organisation. Advice will need to be sought from Hampshire Fire and Rescue Service as to the type of device and where it is to be located. Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 19 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. 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 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 3 27 X 28 3 29 2 30 x STAFFING Standard No Score 31 3 32 X 33 3 34 3 35 x 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X x 3 x 3 x x 2 x Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 20 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. 1. Standard YA42 Regulation 23 (4c i & ii) Requirement Timescale for action 25/02/06 2. YA29 13 (5) Advice needs to be obtained from Hampshire Fire and Rescue Service regards to the installation of an appropriate alarm detector in the designated smoking area. The Commission for Social Care 25/02/06 Inspection is to be kept informed of the situation with regards to the planned move of the resident requiring specialist equipment. 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 Heywood Sumner House DS0000055844.V274227.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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