Inspection on 31/10/06 for Highbury Rise

This inspection was carried out on 31st October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Highbury Rise 03/05/06

Highbury Rise 13/03/06

Highbury Rise 20/10/05

Highbury Rise 11/01/05

Highbury Rise 15/06/04

Highbury Rise 27/02/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Highbury Rise 6 Highbury Road Hitchin Hertfordshire SG4 9RW Lead Inspector Patricia Rogan Unannounced Inspection 31st October - 15th November 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 Highbury Rise DS0000019424.V318125.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. Highbury Rise DS0000019424.V318125.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highbury Rise Address 6 Highbury Road Hitchin Hertfordshire SG4 9RW 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) 01462 437 495 angela@benslow.co.uk Benslow Management Company Limited Angela Taylor Care Home 23 Category(ies) of Dementia - over 65 years of age (23), Old age, registration, with number not falling within any other category (23) of places Highbury Rise DS0000019424.V318125.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd August 2006 Brief Description of the Service: The home was first registered with Hertfordshire County Council on 29th August 1985 and transferred to the National Care Standards Commission on 1st April 2002. The home accommodates older people, including people with a diagnosis of dementia. It is situated in a residential area of Hitchin, within easy walking distance of local amenities and shops. Accommodation is provided on three floors consisting of single occupancy rooms and one double. Each floor is served by a passenger lift. The home comprises of a main kitchen, two dining rooms one large lounge. The smaller dining area is also used as a sitting room by a small number of service users. The laundry is in the basement. There is limited parking to the front of the home and an average sized garden to the rear. The charges for the home range from £450-£594 per week. There is an additional charge for hairdressing, chiropody, clothing, footwear and other items as specified in the individual service contract. Highbury Rise DS0000019424.V318125.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the key standards and the overall quality of this service is good. The inspection took place on two days and included a visit to the premises to meet service users, visiting families and staff. An additional meeting took place with various professionals who have contact with this service. There was also an inspection of records and information provided by the home manager and the registered providers. 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. The summary of this inspection report can Highbury Rise DS0000019424.V318125.R01.S.doc Version 5.2 Page 6 be made available in other formats on request. Highbury Rise DS0000019424.V318125.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 Highbury Rise DS0000019424.V318125.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Standard 6 is not applicable to this service) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is clear guidance on what areas need to be covered during assessments. Service users and their representatives are included in this process. A senior member of staff always carries out the assessment. EVIDENCE: An inspection of a recent admission showed that there had been a full assessment of a prospective residents needs. The service user and representative had signed the assessment to show that they had understood. One person said she had been invited to look around the home and speak with residents on behalf of her relative prior to the assessment to ensure the prospective service user felt as informed as possible about the assessment and the home before making a decision to accept the offer of a place. Highbury Rise DS0000019424.V318125.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans set out health, personal care needs and there has been work to record more fully, the social care needs. Guidelines are in place regarding medication administration. Residents were seen to be treated with respect and their right to privacy was upheld. EVIDENCE: There has been an improvement in the care plans and they are individualised. Staff know the residents well and report any changes so that this can be recorded and acted upon if needed. Changes in a residents health or care needs are also passed to other staff when they come on duty and through the daily record sheet. The working relationship between the manager and her staff and other professionals continues to be successful so that service users have access to health care support as required. One resident said she feels reassured that if she needs to see a doctor, staff will make sure this happens and they keep her informed about when the doctor is due. Discussions with residents, visitors to the home and other observers of the care was generally very positive about the way staff were respectful and courteous. Highbury Rise DS0000019424.V318125.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities provide stimulation for most residents. Events involve the wider community at times. Not all staff appeared to have the confidence to engage with residents in one to one conversations, in particular with those residents who need help to express themselves. Meals are well balanced and appetising. EVIDENCE: There are varied activities, which provide stimulation and interest for residents and their families when they visit. All staff behaved in a friendly manner with residents. Some members of staff appeared to lack the confidence to engage in one to one discussions with residents who had dementia in order that the residents could express their views and have support to explain their wishes. The service users expressed satisfaction with the meals and said there was always a choice. The dining areas are in each lounge and the residents prefer this. Highbury Rise DS0000019424.V318125.R01.S.doc Version 5.2 Page 11 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. 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. There is a comprehensive complaints procedure. The Hertfordshire Adult Protection guidance and training is given to all staff. EVIDENCE: Most residents said they would speak to the manager if they had a complaint and they felt confident that the complaint would be dealt with properly. Some relatives and representatives of residents were consulted during the inspection and all but one said they had been given a service user guide, which explained how to make a complaint. Records showed that complaints had been recorded in detail and investigated in an appropriate manner with the outcome properly recorded. Staff have had training in identifying all forms of abuse. There is a whistle-blowing procedure and all staff are expected to protect service users and report any incidence of poor practice. The manager makes unannounced visits to the home at various times of the day or night and this provides additional monitoring to ensure safe, consistent practice. Highbury Rise DS0000019424.V318125.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The decoration in the home was pleasant and some furniture had been replaced. The home was clean, pleasant and hygienic. EVIDENCE: Redecoration and refurbishment is ongoing to retain the homely atmosphere for the residents. Many residents said they liked seeing the decorations, which had been put up ready for Halloween, which was the same day as this inspection. Several residents said they were also looking forward to having Christmas decorations in the home. Most of the residents rooms are personalised and the manager has responded to the previous requirement and has ensured that residents without family support can have help to choose ornaments and pictures if they so wish. Highbury Rise DS0000019424.V318125.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is an adequate number of staff on duty. The recruitment procedure is robust. Staff have induction training appropriate for their role and additional training is provided. Some staff need additional training in dementia care to ensure they have the confidence and expertise to communicate with all residents who have difficulty explaining how they feel or what their needs are. EVIDENCE: The recruitment procedure is stringent and follows an equal opportunities policy. The majority of staff are permanent and bank staff are rarely used so that residents have few changes. New staff have induction and other training relevant to the post they hold. Through observation during the inspection, staff were seen to treat residents in a kind manner, ensuring that residents care needs were met. Some staff said they had dementia care training but they appeared to lack the confidence or necessary skills to communicate with residents who have dementia. Further dementia care training is essential to ensure that all staff have the confidence and expertise to communicate with residents with dementia in order to enable residents to express their views. Highbury Rise DS0000019424.V318125.R01.S.doc Version 5.2 Page 14 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. 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. The home is well run by a manager who has the skills to ensure residents are well cared for. The manager is familiar with the policies and procedures and the legislation which ensure residents health, safety and welfare is promoted. EVIDENCE: There were favourable comments about the manager from some residents, relatives and staff. More than one visiting professional said they felt the manager ran a good home and obviously cared about the residents. The managers records are up to date and health and safety checks are carried out as required. The manager is continuing with dementia care training and has implemented some effective changes to the environment for the benefit of those residents with dementia. Highbury Rise DS0000019424.V318125.R01.S.doc Version 5.2 Page 15 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 3 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 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 2 28 3 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 3 Highbury Rise DS0000019424.V318125.R01.S.doc Version 5.2 Page 16 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 OP14 Regulation 12(2)(3) Requirement The manager must ensure that dementia care training provides all staff with the skills to communicate effectively with those residents who have dementia and find it difficult to express their needs or explain how they feel. The manager must ensure that dementia care training provides all staff with the skills to communicate effectively with those residents who have dementia and find it difficult to express their needs or explain how they feel. Timescale for action 28/02/07 2. OP27 18(1)(c) 28/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Highbury Rise DS0000019424.V318125.R01.S.doc Version 5.2 Page 17 No. 1 Refer to Standard OP12 Good Practice Recommendations Staff training which included general knowledge about what school and working life may have been like for most residents and what main historical events occurred during the residents lifetimes would provide many relevant topics of interest for all residents, in particular for those residents who need help to recall past events. Highbury Rise DS0000019424.V318125.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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