Inspection on 31/05/06 for High Lea House

This inspection was carried out on 31st May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 27/02/06

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 Janet Oxley Unannounced Inspection 31st May 2006 9.45 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.V297094.R01.S.doc Version 5.2 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.V297094.R01.S.doc Version 5.2 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.V297094.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th February 2006 Brief Description of the Service: High Lea House is a privately owned residential home providing personal care for up 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. The home makes their services known to prospective service users in The Statement of Purpose. The inspection report is mentioned in this document and is given out on request. Fees are reviewed annually and range from £320 - 380. The only additional charges to service users are for toiletries, hairdressing and newspapers. This is clearly laid out in the terms and conditions. High Lea House DS0000020713.V297094.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, looking at relevant records pertaining to key standards, discussions with residents and a visitor, discussions with the staff on duty, discussion with the proprietor, tour of the premises, previous inspection reports, quality assurance process, Fire Authority reports, Environmental Health Office reports and observation of care experienced by people using the service. What the service does well: What has improved since the last inspection? No requirements were made at the last inspection. The Proprietors and staff continue to regularly improve the environment and since the last inspection a number of areas have again been re-decorated and refurbished. All recording systems are reviewed, amended and updated on a regular basis and it has to be noted, once again, that at this home the Proprietors are High Lea House DS0000020713.V297094.R01.S.doc Version 5.2 Page 6 constantly reviewing all aspects of the service to achieve best practice and maintain a high quality service. 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 Lea House DS0000020713.V297094.R01.S.doc Version 5.2 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.V297094.R01.S.doc Version 5.2 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): 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The policies and procedures that are in place, and have been professionally followed, ensure that the home undertakes all necessary assessments for successful and satisfactory admissions to take place. EVIDENCE: The home has a Statement of Purpose and a Service Users Guide, which includes all the required information for prospective residents. Documentation examined indicated that individuals have a full and comprehensive assessment of their needs prior to admission, which is reviewed and amended as requirements change. Particular attention is given during these assessments, not only to the needs of the prospective service user, but also of the likely effects of his/her admission will have on the existing group of residents. Significant time and effort is spent making each admission to the home personal and effective and family members and the prospective service user may visit the home as often as they wish until a decision is made High Lea House DS0000020713.V297094.R01.S.doc Version 5.2 Page 9 Discussions with residents, the proprietors and staff on duty indicated that the home continues to meet the individual needs of the elderly people living at the home in a professional and sensitive manner. High Lea House DS0000020713.V297094.R01.S.doc Version 5.2 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, 9 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The health and personal needs of service users are very well met with evidence of regular review and of good multi disciplinary working taking place on a regular basis. EVIDENCE: It was evident during the inspection from looking at records, inspecting the facilities and chatting to staff and residents that individual health, personal and social care needs were being well met. All service users have a plan of care, these are reviewed and updated at regular intervals. Evidence that the service users take part in the process of care planning is documented and these plans promote the values of choice and independence and attempt to create a whole life experience by considering all aspects of the residents life. Worthy of note is the manner in which the proprietor and staff monitor and promote the service users psychological health to ensure that they are happy and content and they fully promote their rights as individuals. At the time of this inspection the recording, storage and administration of medication appeared satisfactory. All staff administering medication have High Lea House DS0000020713.V297094.R01.S.doc Version 5.2 Page 11 received accredited training on the subject. Residents were being treated with respect and staff were seen to be working both professionally and sensitively in meeting individual needs. Those residents spoken to and one visitor were extremely complimentary regarding the quality of their lives at the home and visiting health professionals continue to praise the management and care standards there. High Lea House DS0000020713.V297094.R01.S.doc Version 5.2 Page 12 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): All Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The routines of daily living at High Lea House are very flexible and each resident finds the lifestyle experienced in the home meets their individual needs. Many activities take place, there is an open visiting policy and the menu offers a good choice of well balanced and wholesome meals. EVIDENCE: Individual needs, likes and dislikes are clearly shown in the care plans. Residents are certainly enabled to exercise choice and control over their own lives as far as they are able, personalise their own rooms and use them as private places – eg one resident has four friends to visit each week to play Bridge and she makes her friends a cup of tea etc using the kettle and fridge that have been provided for her. A number of activities, within the home and outside, take place to suit individual needs and tastes and these are publicised, recorded and monitored. There was much evidence from discussions, observations and records to indicate that individual rights are fully promoted and that individuals are fully supported to exercise choice and control over their lives. Individual needs, likes and dislikes are clearly shown in the care plans Visitors are always made welcome, are included in events and are given all the necessary information on aspects of the home and the welfare of the residents. High Lea House DS0000020713.V297094.R01.S.doc Version 5.2 Page 13 Visitors spoken to have always been complimentary regarding the quality of life for the residents at the home. The menu, meal seen and tasted, discussions with residents and a visitor, discussions with staff and a visit to the kitchen indicated an excellent diet in pleasant surroundings with sensitive help from staff. Food charts to fully record what individuals like, dislike and prefer are used. Kitchen and care staff have all undertaken relevant training and at the time of the most recent Environmental Health Officers inspection matters were satisfactory. High Lea House DS0000020713.V297094.R01.S.doc Version 5.2 Page 14 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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Concerns and complaints are dealt with promptly and professionally and robust procedures and practices are in place to ensure that individuals are protected from abuse. EVIDENCE: The home has a clear complaints procedure, which is given to residents and their relatives before they move into the home. No complaints have been received since the last inspection. This is considered to be as a result of lack of incidents rather than lack of understanding when incidents should be reported. Residents and others associated with the home state that they are extremely satisfied with the service, feel very safe and well supported by highly aware staff. Minor concerns, received by staff at the home, from residents, are dealt with in a professional manner without delay. The home has all necessary documentation in relation to the protection of vulnerable adults and all staff have received training in Abuse and Managing Challenging Behaviour. High Lea House DS0000020713.V297094.R01.S.doc Version 5.2 Page 15 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, 20, 23 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is very good, providing service users with a warm, safe and homely place to live. EVIDENCE: The location and layout of the home are suitable for elderly residents. Communal rooms are well equipped and are warm, homely and welcoming. Bedrooms are personalised and suit individual needs and the gardens and grounds are attractive, well maintained and accessible to residents and their visitors. At the time of the most recent Fire Officer and Environmental Health Officer’s inspections matters were reported to be satisfactory and recommendations made have been complied with. It was evident that the proprietors and staff work hard to maintain this environment and ongoing maintenance and improvements are constantly being undertaken. High Lea House DS0000020713.V297094.R01.S.doc Version 5.2 Page 16 The standard of hygiene and cleanliness at the time of this inspection was excellent. All staff have received training in infection control All laundry is undertaken within the home and even though the laundry is limited in size it was considered that the outcomes for the residents were well met. High Lea House DS0000020713.V297094.R01.S.doc Version 5.2 Page 17 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): All Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by a well trained and committed staff group who are meeting the needs of each individual in a sensitive and professional manner. EVIDENCE: Recruitment at the home is thorough and all elements required by Schedule 2 of the Care Home Regulations are maintained on file. The proprietor is vigilant in her efforts to ensure that suitable staff are employed to care for the service users. The files of newly recruited staff were seen to be satisfactory and one fairly new staff member was very complimentary regarding the induction, support and supervision she had received. Staff turnover is low and no agency staff are used. The arrangements for ongoing training and foundation training are very good with staff completing this well within the first six months. The Proprietor continues to support staff to undertake their NVQ awards, 81 of staff have achieved NVQ level 2 and 68 have achieved NVQ 3, a very good variety of other training has been undertaken and staff on duty indicated that they were very sensitive to the service users needs and disabilities and that their attitudes and practice were monitored and supervised by the resident proprietor. Recorded staff supervision, staff meetings and appraisals are undertaken in a professional manner and staff confirmed that this was so during discussions. Training records are maintained for each staff member. High Lea House DS0000020713.V297094.R01.S.doc Version 5.2 Page 18 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 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are clear lines of accountability within the homes management structure and the management approach creates an open and positive atmosphere from which the residents benefit. The home regularly reviews all aspects of its performance through a programme of self review, questionnaires and consultations and meets the requirements of the Fire Officer and Environmental Health Officer, promoting the health, safety and welfare of the residents. EVIDENCE: The registered proprietor and manager is Miss Wakefield who is fully qualified, has successfully managed the home since 1984 and keeps herself up to date with topics relating to older people and holistic care. The manner in which the proprietor and staff responded to this inspection indicated that a sound management approach is in place and that staff are High Lea House DS0000020713.V297094.R01.S.doc Version 5.2 Page 19 committed to achieving best practice and to developing equal opportunities. Equality and diversity for the service users were seen to be promoted throughout the home, within the assessments, care plans and activities. Equality for staff is promoted through opportunities for training at all levels. Sound quality assurance systems are in place, both formally and informally, and it was evident that systems for resident consultation are good and that their views are sought and acted upon. Matters to ensure that service users financial interests are safeguarded are in place, only the monies of one service user are managed and records were seen to be satisfactory. There was also evidence available to indicate the proprietor ensures, so far as is reasonably practical, the health, safety and welfare of service users and staff. All staff have attended a health and safety and relevant training, there is a first aider on site at all times, risk assessments are in place and at the time of this inspection no potential hazards were identified. High Lea House DS0000020713.V297094.R01.S.doc Version 5.2 Page 20 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 3 x 3 x 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 4 x x 3 x x 4 STAFFING Standard No Score 27 3 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 x 3 3 x 3 High Lea House DS0000020713.V297094.R01.S.doc Version 5.2 Page 21 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 High Lea House DS0000020713.V297094.R01.S.doc Version 5.2 Page 22 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.V297094.R01.S.doc Version 5.2 Page 23 - 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!