Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 25/01/06 for High Hurlands Nursing Home

Also see our care home review for High Hurlands Nursing Home for more information

This inspection was carried out on 25th January 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.

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

The home is comfortable and relaxed and had a very open and friendly atmosphere. The inspector saw a very well organised activity programme that helps every person to spend time doing things that they like to do. The home is very well equipped with a lot of different spaces to take part in activities.

What has improved since the last inspection?

The home was not asked to improve anything following the last inspection.

What the care home could do better:

The inspector did not find anything that needed to be improved following his visit.

CARE HOME ADULTS 18-65 High Hurlands Nursing Home Nr Passfield Liphook Hampshire GU30 7RY Lead Inspector John Vaughan Unannounced Inspection 25th January 2006 10:30 High Hurlands Nursing Home DS0000012133.V277471.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 High Hurlands Nursing Home DS0000012133.V277471.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. High Hurlands Nursing Home DS0000012133.V277471.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service High Hurlands Nursing Home Address Nr Passfield Liphook Hampshire GU30 7RY 01428 7510202 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) High Hurlands Partnership Mrs Gillian Derbyshire Care Home 22 Category(ies) of Learning disability (22), Physical disability (22) registration, with number of places High Hurlands Nursing Home DS0000012133.V277471.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users may be accommodated over the age of 16 years. Date of last inspection 2nd August 2005 Brief Description of the Service: High Hurlands nursing home is a well-established service providing care and support to twenty-two young adults with learning disabilities. The service users have very complex needs that can require medical and nursing interventions. Staffing is provided twenty-four hours a day and has links with local General Practitioners and nursing team to support and enhance the service provided. The home is owned and operated by High Hurlands partnership. The home is situated in a rural part of the Hampshire country side and transport facilities are provide for service users to access local facilities in the nearest village of Liphook and larger towns in the area. High Hurlands Nursing Home DS0000012133.V277471.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over three hours and involved service users at home on the day, two of the partners and staff on duty. The inspector spoke spent time with service users, watching how staff members were helping them. The inspector interviewed to staff and two further staff were spoken to during an activity with service users. Records held in the home were also looked at and these included the service users care plans and information on activities, staff records and quality assurance questionnaires. 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. High Hurlands Nursing Home DS0000012133.V277471.R01.S.doc Version 5.1 Page 6 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 High Hurlands Nursing Home DS0000012133.V277471.R01.S.doc Version 5.1 Page 7 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): These standards were not assessed at this visit EVIDENCE: High Hurlands Nursing Home DS0000012133.V277471.R01.S.doc Version 5.1 Page 8 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): 6 and 7 A well developed and comprehensive care planning process demonstrated that the home is identifying and responding to service user’s complex needs. The practices within the home encourage service users the participate in making choices. EVIDENCE: A new service users plan was examined. Instructions to staff are clear and these are kept under regular review. Information on how to support the service user with personal care, health and medical needs, communication, activities, social interaction, continence and night routines are all covered within this plan. The care plans encourage staff to interact and involve each person in decision making and the inspector noted instructions to engage and involve each service users to the best of their abilities with making every day choices. Comprehensive guidelines are in place for moving and handling, using equipment and physiotherapy sessions, supported by photographs. High Hurlands Nursing Home DS0000012133.V277471.R01.S.doc Version 5.1 Page 9 An additional document provides a picture of the person, their dreams, likes and dislikes and goals, which have been completed by key-workers and family members. The inspector noted that these plans are used throughout the day and are located in a cupboard which is accessible to staff. The partner and inspector discussed the security of the plans and said that they would get a door fitted on this cupboard. The inspector spoke to staff and confirmed that service users are supported to make choices about their daily lives. Interaction between staff and service users was observed and this was positive with staff talking to service users throughout their activity. High Hurlands Nursing Home DS0000012133.V277471.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): 16 The practices in the home demonstrate that service users are treated with dignity and respect. EVIDENCE: During the visit the inspector observed staff members working with service users and met with two staff members to talk about how they support individuals with their daily lives. Staff confirmed that they undertake training in supporting service users to maintain their privacy and dignity. The inspector was told that one training session helps staff obtain an insight into the feelings and experiences of service users. The inspector saw positive interaction between staff members and service users as they carried out activities together. Staff maintained the privacy and dignity of each person when preparing for a hydrotherapy session. Care plans reflected the individual needs and wishes of service users. High Hurlands Nursing Home DS0000012133.V277471.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): These standards were not assessed at this visit. EVIDENCE: High Hurlands Nursing Home DS0000012133.V277471.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): 23 Service users are protected by clear policies and procedures to report and respond to allegations and suspicions of abuse. EVIDENCE: The home has a policy on the protection of vulnerable adults and a copy of the Hampshire Protection of Vulnerable Adults Policy is also in place. Staff members have training on protecting service users as part of their induction into the home. The policy is an older version and the partners were advised to contact their local social services office and obtain an updated copy. The monies held for service users are within one account. This account is not used for the running of the home. The inspector discussed the management of this account with the bookkeeper and one of the partners. Clear and comprehensive records are maintained to demonstrate how this money is received and spent. Receipts for transactions are obtained and an individual balance sheet is kept for each person. The inspector was told that interest is divided between all service users based on their individual balances. High Hurlands Nursing Home DS0000012133.V277471.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): These standards were not assessed at this visit EVIDENCE: High Hurlands Nursing Home DS0000012133.V277471.R01.S.doc Version 5.1 Page 14 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): 32 , 34 and 35 An established training programme demonstrated that service users are supported by staff who are obtaining suitable qualifications. The practices of the home when recruiting new staff members protect service users. EVIDENCE: The inspector confirmed that an ongoing programme is in place for staff to obtain a National Vocational Award (NVQ). The information provided by the partners indicated that seven nursing home staff are undertaking this award at present. The home has twenty care staff with a NVQ award or equivalent qualification and an induction and training programme that provides underpinning knowledge to carry out their roles and obtain a NVQ. The inspector spoke to staff about their training and support and received positive comments about the induction programme. New staff members attend a five day induction course and a competency workbook is completed with a senior member of staff. High Hurlands Nursing Home DS0000012133.V277471.R01.S.doc Version 5.1 Page 15 Staff records and a training programme was examined by the inspector confirming staff attend courses in Health & safety, Food handling, medication, Fire safety, Epilepsy, Abuse, Infection control, principles of care, service users needs and Moving and Handling. Additional training is provided in feeding via a Percutaneous Endoscopic Gastrostomy (P.E.G) tube, multi-sensory rooms, day services and using the homes vehicles. The inspector examined five staff files and this confirmed that thorough recruitment checks are completed for staff before they take up their employment. Each record contained appropriate application forms, two written references and proof of identity. This included passports, visas, driving licences and birth certificates. High Hurlands Nursing Home DS0000012133.V277471.R01.S.doc Version 5.1 Page 16 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 and 39 Service users are supported by a well-managed service. The service can demonstrate that an established system is in place to develop the service with views from service users and their families included in this process. EVIDENCE: The manager has significant experience of managing this service for people with a learning disability. The manager is a registered nurse who has completed the registered manager’s award. Staff made positive comments about the support they receive. Staff said that the service is well organised and they are given a lot of training and information to carry out their job. The complexity of service users needs means that it is difficult to speak to service users about their views on the service they receive. Staff have been identified as key-workers who raise issues on behalf of the individual and the home keeps in contact with families and care managers to obtain their views. High Hurlands Nursing Home DS0000012133.V277471.R01.S.doc Version 5.1 Page 17 The inspector looked at records, which confirmed that questionnaires are completed. The feedback from service user’s families, care managers and staff members was positive in these documents. The home undertakes a review of the service on an annual basis. One of the partners is currently looking at all of the information received from the questionnaires and will write a response once this has been completed. Regulation 26 visits are undertaken and a report is sent to the commission each month. High Hurlands Nursing Home DS0000012133.V277471.R01.S.doc Version 5.1 Page 18 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 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X 3 X X X X High Hurlands Nursing Home DS0000012133.V277471.R01.S.doc Version 5.1 Page 19 N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 High Hurlands Nursing Home DS0000012133.V277471.R01.S.doc Version 5.1 Page 20 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 © 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 High Hurlands Nursing Home DS0000012133.V277471.R01.S.doc Version 5.1 Page 21 - 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!