Random inspection report
Care homes for older people
Name: Address: High View Lodge Cherry Orchard Gadebridge Hemel Hempstead Hertfordshire HP1 3SD one star adequate service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Alison Butler Date: 1 4 1 2 2 0 0 9 Information about the care home
Name of care home: Address: High View Lodge Cherry Orchard Gadebridge Hemel Hempstead Hertfordshire HP1 3SD 01442239733 01442239154 manager.highview@runwoodhomes.co.uk www.runwoodhomecare.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Runwood Homes Plc care home 77 Number of places (if applicable): Under 65 Over 65 77 77 0 dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 77 The maximum number of service users who can be accommodated is 77. The registered person may provide the following category of service only: Care Home Only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia over 65 - Code DE(E) Physical disability - Code PD Date of last inspection Brief description of the care home High View Lodge is a purpose built residential care home, which can accommodate up to 77 service users. The home is divided into four units, one of which is a specialist
Care Homes for Older People Page 2 of 8 Brief description of the care home dementia care unit. There is also an additional respite unit. Each unit has a lounge and dining area and there is a large communal lounge at the front of the home. Bedrooms are single occupancy however couples can be accommodated if necessary. All bedrooms have en-suite facilities. The home is situated in a residential area of Hemel Hempstead and is accessible by public transport. The homes Statement of Purpose, Service Users Guide and a copy of the latest Inspection Report, which provide information about the service, are kept on display in the entrance area and available on request from the manager. For information on up to date fees contact should be made with the manager. Care Homes for Older People Page 3 of 8 What we found:
This inspection was undertaken as part of our review of the service to examine compliance made with the requirements left at the key inspection conducted on 11th May 2009 and monitor any further progress that has been made. A new manager had been recruited and had been in post for approximately ten weeks at the time of this visit. During this inspection we had very positive comments from the staff about the new manager and were told that they felt that he was very approachable and that they felt able to go to him should they have any concerns. We noted that soap and paper towels were now accessible to staff which promoted good infection control procedures. The manager had recently conducted interviews and it is hoped that three careworkers and three domestic staff will commence employment once all checks have made and are satisfactory to ensure the safety of residents. During a tour of the building we found that three out of the four kitchen/dining rooms flooring had been replaced and we were informed that the flooring on Colne Path would be completed in the New Year to provide a more homely environment as the flooring is looking very tired and has had to be repaired temporarily. We carried out a spot check on medication and found that some signatures had been missed although the medication appeared to have been given as it was no longer in the dosette box. The Care Team Manager stated that all medication errors are addressed through supervision and a record is made. We found that external medication had been placed on a shelf with internal medication and we informed them that internal and external medication should always be stored separately, although this appeared to have been an oversight as separate storage was available on the medication trolley for external medication. During our visit we saw residents enjoying participating in the baking that was taking part on one unit and card making was in progress in another. We spoke with the activities coordinator who had only recently been employed at the home and was in the process of getting activities back up and running, they work a total of 35 hours a week. The company should look providing some additional hours to support all 77 residents as some of them require one to one support as they do not join in group activities but very much like company of someone being with them to either read, chat or play a game. We examined three care plans and found that they provided detailed information about the care needs of the residents and what they were able to do for themselves. One care plan required a risk assessment to be completed for a residents whose family take responsibility for administering their medication while on outings. This is to ensure that the resident and staff are safeguarded should it be accidentally not administered and there is an adverse effect on the resident. During our visit we saw staff talking and supporting the residents in a caring and friendly way. What the care home does well:
Residents were complimentary about the care and support they receive from the staff. Comment received included the staff are lovely they help us with what we need. The home offers a relaxed and homely environment. Care Homes for Older People Page 4 of 8 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 19 Continue to meet with staff review and address their concerns regarding the staff room facilities that they are provided with. This is to make sure staff have a suitable place to take breaks. Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
