Inspection on 27/02/06 for High Lea House

This inspection was carried out on 27th February 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

High Lea House 27/06/07

High Lea House 31/05/06

High Lea House 15/08/05

High Lea House 28/02/05

High Lea House 06/09/04

High Lea House 26/02/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE High Lea House Llanforda Rise Oswestry Shropshire SY11 1SY Lead Inspector Karen Powell Announced Inspection 27th February 2006 10:00 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 High Lea House DS0000020713.V268220.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. High Lea House DS0000020713.V268220.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service High Lea House Address Llanforda Rise Oswestry Shropshire SY11 1SY 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) 01691 654090 NONE yvonnej.wakefield@virgin.net Miss Yvonne Wakefield Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places High Lea House DS0000020713.V268220.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th August 2005 Brief Description of the Service: High Lea House is a privately owned residential home providing personal care to twenty-nine older people. The registered proprietor and manager is Miss Yvonne Wakefield who has managed the home since 1984. Miss Wakefield and her partner Mr Edwards own the cottage opposite the home and provide on call support as well as having active roles in the running of the home. High Lea House is an impressive house, which has been converted and extended. It is set in its own grounds in a quiet residential area but within easy reach of the centre of Oswestry. The home benefits from its raised position, with a number of rooms having extensive views across Shropshire and the pleasant gardens of the home. The home provides single and double accommodation some rooms having en-suite facilities. There is a large lounge, a pleasant conservatory, a dining room and a quiet room offering service users choice as to where they wish to spend their time. The first floor is accessed by a shaft lift and all areas of the accommodation are accessible. Visitors to the home are frequent, good links with the local community are maintained by the home. High Lea House DS0000020713.V268220.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and started at 10.00am and lasted 3 and 3/4 hours. The inspection included discussion with service users, relatives and staff. Observation of daily routines, examination of service user records and a home tour took place as part of the inspection. This inspection reviewed progress on the requirements made at the last inspection and key standards only as the home is currently considered to be performing well and thus warrants the application of a reduced methodology. This report should be read in conjunction with the unannounced inspection report of 15th August 2005. What the service does well: What has improved since the last inspection? What they could do better: High Lea House DS0000020713.V268220.R01.S.doc Version 5.1 Page 6 This is a home that operates well and remains committed to providing a high standard of care, which is linked closely to the National Minimum Standards for older people. 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 Lea House DS0000020713.V268220.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 High Lea House DS0000020713.V268220.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): These standards were inspected at the inspection on 15th August 2005. EVIDENCE: High Lea House DS0000020713.V268220.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9 & 10 There is a clear care planning process in place. The staff are sensitive to the needs of each service user and meet these in a professional manner. Medication is dealt with in accordance with the homes policies and procedures. Service users rights to have their privacy and dignity maintained, is respected by all staff. EVIDENCE: All service users have a plan of care. Two care plans were examined at the visit. One of a new service user admitted to the home, another of a service user who had lived at the home for some time. Care plans are written in narrative style which describe the needs of each service user and how staff should meet those needs. Evidence that the service user take part in the process of the care planning was seen to be documented on the care plan. High Lea House DS0000020713.V268220.R01.S.doc Version 5.1 Page 10 Care plans are reviewed monthly with the service user and or their representative, a staff member and the manager. Evidence held within individual service user personal records demonstrated that health care services are accessed on behalf of service users. Discussion with service users confirmed that individual’s health care needs are met by the support of health care professionals. The requirement made at the last inspection with regard to Controlled drugs being checked on receipt into the home was revisited. Records and stock were seen to be satisfactory. Many of the service users spoke to the inspector during the visit and were happy to discuss life at the home. All confirmed that staff maintained their privacy and dignity at all times. Staff were seen to knock on service users bedroom doors before entry. One service user was entertaining their relative in the privacy of their own room and agreed to the inspector joining them. The service user had recently moved into the home and shared with the inspector their experience of life at High Lea House to date. Nineteen service user comment cards were returned to the Commission for Social Care Inspection as part of the pre inspection research all service users commented that they felt their privacy was respected. High Lea House DS0000020713.V268220.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): These standards were inspected at the inspection on 15th August 2005. EVIDENCE: High Lea House DS0000020713.V268220.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): 18 Service users are protected from abuse by the home’s policies and procedures. EVIDENCE: The pre inspection questionnaire completed by the manager declared the home has in place an adult protection policy. The document was not examined at this inspection. Miss Wakefield has a clear understanding of the policy and has experience of the adult protection process. It was also declared on the pre inspection questionnaire that there is a policy in place for the management of service user money, valuables and financial affairs, although it was reported that generally the home does not handle service user money. Staff files examined saw evidence of abuse training taking place. The home has a series of training videos, which are shown to staff and supported by completion of workbooks. These are checked and signed off by Miss Wakefield. High Lea House DS0000020713.V268220.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): These standards were inspected at the inspection on 15th August 2005. EVIDENCE: High Lea House DS0000020713.V268220.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): 29 & 30 Service users are protected by the homes recruitment procedures. The home continues to support staff in completing training relating to their work role. EVIDENCE: There had been two new staff recruited since the last inspection. The files of both individual’s were examined to monitor compliance with standard 29 and found to contain all relevant pre employment checks. The pre inspection questionnaire completed by the manager, discussion with staff and examination of a sample of staff training files confirmed that staff are supported with training related to their individual roles. It was confirmed by the manager and staff that all mandatory training is up to date. High Lea House DS0000020713.V268220.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): 31,33 & 35 A suitably qualified and experienced individual manages the home. There is an effective quality monitoring system in place. Service users financial interests are safeguarded by policies and procedures. EVIDENCE: The registered proprietor and manager is Miss Yvonne Wakefield who has managed the home since 1984. Miss Wakefield continues to keep herself up to date with topics relating to older people. Topics declared on the pre inspection questionnaire completed by Miss Wakefield included Food Hygiene, Fire Safety, Abuse, manual handling, first aid, supervisory management, drug administration, neuro linguistic programming and managing challenging behaviour. High Lea House DS0000020713.V268220.R01.S.doc Version 5.1 Page 16 Comments received in relation to the management and staff at the home included; “The owner/manager is warm, caring and approachable”. “The staff are all very kind”. “The staff look after me very well”. It was clear through discussion with service users that their views are listened to and actioned as far as possible. Feedback from those service users who completed the pre inspection comment card said they did not wish to be more involved in decision making in the home. Miss Wakefield discussed with the inspector a new quality monitoring form that she is developing to seek the views of service users and other relevant parties. Service users were aware of the announced inspection and all gave positive comments about the standard of care, attitude of staff and quality of personal and communal space at High Lea House. As stated earlier service users are encouraged to maintain their own finances. There was only one service user at the time of the inspection that had money kept in safekeeping, records relating to this were found to be satisfactory. High Lea House DS0000020713.V268220.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 x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x x High Lea House DS0000020713.V268220.R01.S.doc Version 5.1 Page 18 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. 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 Lea House DS0000020713.V268220.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Lea House DS0000020713.V268220.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!