Inspection on 05/09/08 for Highfield Care Home

This inspection was carried out on 5th September 2008.

CSCI found this care home to be providing an Adequate service.

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

Highfield Care Home 12/06/09

Highfield Care Home 18/11/08

Highfield Care Home 16/11/07

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 17/12/2008.

CARE HOMES FOR OLDER PEOPLE Highfield Nursing Home Highfield House Woodsetts Road North Anston Sheffield South Yorkshire S25 4EQ Lead Inspector Ivan Barker Key Unannounced Inspection 5th and 10th September 2008 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 Highfield Nursing Home DS0000070354.V371602.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. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highfield Nursing Home Address Highfield House Woodsetts Road North Anston Sheffield South Yorkshire S25 4EQ 01909 566055 P/F 01909 566055 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) Selvaratnam Balaratnam Sharon Woodcock Care Home 43 Category(ies) of Dementia (12), Old age, not falling within any registration, with number other category (31) of places Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th November 2007 Brief Description of the Service: Highfield Nursing Home is located on the outskirts of the village but within easy reach of local shops and facilities. There are regular bus services from the village to the town. The home is situated in large grounds, which are accessible to people in wheelchairs and those with limited mobility. Accommodation is on two levels. There is a lift to facilitate people getting between the 1st floor bedrooms and the communal rooms, which are located on the ground floor. The service provides care to older people with personal care or nursing care both physically frail or people with dementia. The current fees are available from the service. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is ‘1 star’. This means that the people who use this service experience adequate quality outcomes. “We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations – but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken.” Only a number of the National Minimum Standards were examined at this inspection (with emphasis on the ‘key standards’), and the previous requirements. The person present at the inspection was: S Woodcock, manager. Within this site visit, which occurred over a five and a half hour period, on the 5th September and a two hours period on the 10Th September, we toured the building, examined requirements relating to the previous inspection, case tracked 3 people (Case tracked means looking at the care and service provided to specific people who use the service living at the home; checking records relating to their health and welfare, care plans and other records; by talking to the specific people who use the service; viewing their personal accommodation as well as communal living areas). Spoke with other people, relatives and also 3 staff and examined selected assessments, care plans, risk assessments, menus, complaint files, staff files and quality monitoring documents. The history of the service was examined prior to the site visit. This included the AQAA (Annual Quality assurance Assessment) a self-assessment document used in the judging of the service, telephone contacts, letters, and notifications. Ten surveys were sent out to the people. Two were returned; both indicated that they were completed with the assistance of their relative. Four surveys were handed out to relatives and these were returned, during the inspection. People who use the service will be referred to within this report as ‘people’. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 6 What the service does well: People’s needs were known to the service prior to admission. The two assessments ensured that the service had sufficient information to assess if the service was able to meet the person’s needs. People and relatives expressed their views, during the inspection, and in surveys. Their opinions were; ‘They look after mum very well’. ‘I like living here and going out’. ‘Its very nice here’. ‘Happy to be here, the girls are nice’. Staff work hard under constraints to ensure best care is provided. Activities were organised and people were able to exercise their rights of choice within the service, therefore this provided stimulation and enhanced their quality of life. On discussing the activities with the people, and relatives and reading the surveys their opinions were that: Staff encourage people who are capable to try even more activities. Dad doesn’t want to join in (the activities). The one thing he really enjoys is music and he will sing along. There are always activities of which I enjoy very much. On discussing the meals with the people, and relatives and reading the surveys their opinions were that: ‘The food is ‘very good’. ‘We forget what we are having, It’s a surprise’. Good food. Very good choice and plenty on my plate. Never complains, can’t usually remember what he has had. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 7 The service had a complaints procedure and it was operating according to the company policy, this should provide confidence that complaints were taken seriously and acted upon to address any shortfalls in care or service provision. Safeguarding adults training made staff aware of their responsibility regarding the protection of vulnerable adults. The general comments regarding the environment were that: The grounds have been revamped this past 6 months along with internal décor of the home. They keep the home clean. The manager was able to provide evidence that staff had received some training, although the quality was questioned, however training would reflect on the quality of care being delivered to the people. The comments from people and relatives and from surveys were: I have an excellent relationship with all members of staff. Communication has been really good. The staff have rung me at home if they have had any concerns with my mum. Staff seem competent in tasks and individual needs. The majority of staff appear happy in their work and genuinely care about the residents. Staff all seem to genuinely care not only about the residents but also their dependants/ visitors. They are very caring staff. Other general comments from people, relatives or on surveys were: Highfield is a very ‘user friendly’ facility and I am glad I chose this nursing home for my mother. My mum has a hospital visit this week Highfields rang me at home to inform me of timing/ details etc. Communication is good on first name terms and even known nicknames, which puts residents and visitors at ease. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 8 There is never an atmosphere when I visit; it is always a pleasant ambience. The staff recruitment process provided protection for the people. What has improved since the last inspection? What they could do better: The service should have responded quicker to the requirements. For example the supervision and Regulation 26 visits should have received attention as soon as this was raised, not several months later. The management of the service should be more organised regarding the planning of training and supervision. The omissions within the care plans will not contribute to the delivery of care. Comments, in the surveys stated; Sometimes staff are hard pushed to cover every one’s needs The care home could improve with more staff, more equipment (TV/ CDs), better hoist, more days out. People lived in an environment, which requires attention. A recommendation is that a rolling programme for décor fitting and fixtures and equipment is produced. Some quality assurance systems were in place. It was discussed that this is an area, which could be improved, along with the regulation 26 documentation. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 9 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 be made available in other formats on request. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 10 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 Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 11 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): Standards 3 and 6. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s needs were known to the service prior to admission. The two assessments ensured that the service had sufficient information to assess if the service was able to meet the person’s needs. EVIDENCE: The manager identified that since the last inspection there had been an improvement in the service receiving assessments from the care management team. She still received verbal assessments and some assessments were not received until the person had been admitted into the service. However the manager had undertaken assessments of each person prior to their admission. These assessments detailed the person’s health and personal needs. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 12 The information provided within both assessments assisted in providing information for the staff to decide if the service could meet the person’s needs. It also provided sufficient information for care plans to be drawn up. The manager advised that intermediate care was not provided within the service. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 13 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): Standards 7, 8, 9 and 10. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People and relatives were satisfied with the care they received. However daily records did not fully describe the specific care given. EVIDENCE: On examination of the care plans, from three people, it was established these 3 care plans were up to date, and had been evaluated on a monthly basis. Daily records did not describe the specific detailed care given, action taken and the ‘well-being’ of the person. Example; The time a person was turned over in their bed. The manager referred to the record keeping guidance from the Nursing and Midwifery Council that indicated that the records should indicate changes needed to the care plan, through changes in the person condition. This comment was accepted, but a discussion regarding the introduction of Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 14 other documentation and useful tools occurred, for example, the use of ‘turn charts’. Some risk assessments were included within the documentation. There were weight charts, which indicated that people should be weighed on a monthly basis. There were several omissions within these documents. The manager identified that she preferred every person to be weighed but accepted that the records had omissions. On discussing the care of pressure sores the manager found another file. She identified this to be the ‘dressings file’. It was found that some information regarding the care of pressures sores and other wounds was sometimes recorded within the care plan and sometimes in the dressing file. It was discussed that it may be better that all information was stored together. The manager stated on the AQAA that ‘we have visiting chiropodist, option and dentist. The district nurses visit individual clients, GP’s visit as and when required’. People and relatives expressed their views, during the inspection, and in surveys. Their opinions were; ‘They look after mum very well’. ‘I like living here and going out’. ‘Its very nice here’. ‘Happy to be here, the girls are nice’. Staff work hard under constraints to ensure best care is provided. Sometimes staff are hard pushed to cover every one’s needs The storage, ordering, administration and disposal of medication procedures were discussed with the qualified nurse and the manager. The procedures explained were satisfactory. There was a signature-checking document, which contained the initials as written on the medication administration document and the member of staff’s signature. On examination of medication administration records it was found that there were no omissions of signatures. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 15 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): Standards 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities were organised and people were able to exercise their rights of choice within the service, therefore this provided stimulation and enhanced their quality of life. EVIDENCE: The manager advised that an activities co-ordinators was now employed and that she was ‘brilliant’. She worked 10 hours a week, on Monday afternoon for two hours and Tuesday to Friday, 2 hours each morning. There was an activities programme displayed. Other events that were planned to occur were monthly church services within the service, a monthly visit by an organist, and a trip out to a garden centre. The manager advised that staff took people down to the local pub, which was at the end of the road. Also 2 people attended the Anston reunion community group. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 16 On discussing the activities with the people, and relatives and reading the surveys their opinions were that: Staff encourage people who are capable to try even more activities. Dad doesn’t want to join in (the activities). The one thing he really enjoys is music and he will sing along. There are always activities of which I enjoy very much. Regarding the meals, the manager advised that there is a choice of meal. The meals for today were displayed on the Chalkboard outside the dining room. On discussing the meals with the people, and relatives and reading the surveys their opinions were that: ‘The food is ‘very good’. ‘We forget what we are having, It’s a surprise’. Good food. Very good choice and plenty on my plate. Never complains, can’t usually remember what he has had. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 17 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): Standards 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service had a complaints procedure and it was operating according to the company policy, this should provide confidence that complaints were taken seriously and acted upon to address any shortfalls in care or service provision. Safeguarding adults training made staff aware of their responsibility regarding the protection of vulnerable adults. EVIDENCE: The complaints procedure was available within the Service User guide. A copy of the procedure was displayed at the entrance. On discussing complaints with the manager, she produced the complaints file. Within the recent entries there were 2 complaints. We were aware of these complaints, as both the complainants had discussed the issue with us. Both had expressed a wish to discuss the issues with the manager and get back to us if they were not resolved. The information within the file stated that the complaints had been addressed. The manager stated on the AQAA that advocacy services details were on display. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 18 Regarding Safeguarding Adults, the service had policies and procedures which were available to staff. On discussing the Safe Guarding training, she identified that the training certificates were in the individual staff files. Three staff files were selected and certificates observed. It was discussed that a training matrix or a planner would be helpful with monitoring the training. Within the AQAA, the manager informed of a safe guarding incident and that the appropriate referral to POVA (Protection of Vulnerable Adults) had occurred. On the 10th September visit; Local Authority staff were present at the service. They were carrying out an initial information gathering and the manager was assisting them with this exercise. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 19 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): Standards 19, 24 and 26. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People lived in an environment that had not been well maintained and was looking ‘tired’ in many areas. EVIDENCE: On touring parts of the building, the home was found to be generally clean and tidy, however some areas of the service looked ‘tired’ and will require redecoration or refurbishment in the near future. Many areas, in the older part of the service were showing their ‘age’ with marks and scuffs on doors and doorframes. Several of the corridor carpets were stained. The manager advised that the carpets were scheduled to be changed. She also advised that the owner and invested money in the service, but total redecoration would be too much. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 20 It was observed that a new bedroom had been created and the first row of bricks for an extension to the lounge / dining room was being built. This extension was in a small courtyard adjacent to the external doors of the lounge /dining room, but within approximately 15cms of 3 open windows. (2 bedrooms and 1 kitchen). Should this be completed the people in the extension would look directly into the bedrooms. This would invade the person’s privacy and dignity. The owner and 2 inspectors (regulation inspector and registration inspector) from the CSCI met at the service on the 10th September. He accepted the reasons given why the building of the extension would create difficulties. Further options were discussed, and the owner was advised to read the necessary regulations. The service did not have a mechanical sluice. There were only two large washbasins situated within small rooms used for storage. This was discussed with the manager at the last inspection. She advised that the service continues to clean the commode pans etc, by soaking them in cleaning chemical, once a week, and ‘washing’ in the washbasins between them being used. A member of staff was stopped on the corridor and asked how the commode pans were cleaned. She advised that the pans were soaked at the weekend. This practice involves several risks for example, the correct dilution of the chemical, possible spillage, insufficient cleansing time, etc. it would also have an effect on the staff time whilst undertaking such a long process, etc. The provision of a mechanical sluice machine would address many of these risks and free up staff time to provide care. Comments were received from the people and the relatives regarding the environment, during the inspection and from surveys. The general comments were that: The grounds have been revamped this past 6 months along with internal décor of the home. They keep the home clean. The people’s rooms had been personalised and many contained photographs, personal belongings and items of furniture, which the individual or the family had provided. However, where people with dementia lived, there were several of the rooms, which did not have any person belonging, pictures etc on display. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 21 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): Standards 27, 28, 29 and 30. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager was able to provide evidence that staff had received some training although the quality was questioned, however training would reflect on the quality of care being delivered to the people. The staff recruitment process provided protection for the people. EVIDENCE: On examination of the staff rotas and examination of staff on duty, the following was established. Am shift Pm shift Night shift Plus. A manager, An activities co-ordinator. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 22 1 qualified nurse and 5 care staff. 1 qualified nurse and 5 care staff 1 qualified nurse and 3 care staff. Ancillary staff included; domestics, catering staff and maintenance staff Caring for a present occupancy of 35 people. A full assessment of the dependency levels of the people was not undertaken and compared with the indicated staffing levels. On examination of the three staff files, all contained the required documentation. including the Criminal Records Bureau and POVA (Protection of Vulnerable Adults) checks. On discussing the staff training records again the manager identified that she did not organise the training into any planners or matrix. She also identified that most of the training was via staff watching videos and answering questions on a sheet of paper. Answer sheets were shown to us. It was questioned if the information on the videos was up to date. The manager provided evidence of training in Moving and Handling, Fire and Adult Safe Guarding, by producing certificates from the staff files. The comments from people and relatives and from surveys were: I have an excellent relationship with all members of staff. Communication has been really good. The staff have rung me at home if they have had any concerns with my mum. Staff seem competent in tasks and individual needs. The majority of staff appear happy in their work and genuinely care about the residents. Staff all seem to genuinely care not only about the residents but also their dependants/ visitors. They are very caring staff. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 23 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): Standards 31,33,35, 36 and 38. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An experienced registered manager was in post at the start of this inspection, but now a new manger is required. This change may affect the effective organisation and operation of the service. Some quality assurance systems were in place. It was discussed that this is an area, which could be improved. EVIDENCE: Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 24 There was a registered manager in post on the 5th September. She advised that she had 31 years experience in care and 13 years in management. She also advised that she had given 3 months notice, which was now up, but she was carrying on until the new manager was in post. Advertisement had been placed in the local paper but there had been no responses. However on the visit of the 10th the manager identified that she had moved onto the night shift as a registered general nurse, but was here today helping the local authority with an investigation. The owner advised that he had found some one else for the post of manager. Regarding the management and organisation of the service there should be more management planning in the areas of training and supervision. Regarding service users monies there was a credit and debit system in operation. The monies held by the service were small amounts. Regarding Quality Assurance, the manager identified that she walked around the building on a daily basis and ‘kept on top of things’. She produced a document, which had been completed over a two-month period. She identified that there were Regulation 26 documents, (which are a record of the registered person’s monthly visits). which had been completed by the owner. On examination of these documents it was established that the documents were quality assurance documents. It was discussed that these document were a good start to quality assurance monitoring, but did not cover the specific information required under Regulation 26. The manager agreed to discuss this with the owner and review the documents. The last inspection in November 2007 raised the issue of requiring Regulation 26 documents, so there should have been more than 2 documents. However it was accepted that the process had started. On requesting to examine the supervision records the manager provided some supervision files, which had been completed since May. It was accepted that she had started supervision, but we expressed concern that it would be difficult to complete six supervisions for each member of staff before the end of the year. Regulation 37 notices, which are documents that are sent to the Commission regarding untoward occurrences, including falls, accidents etc; have been received by CSCI (Commission for Social Care Inspection). The information showed that appropriate action had been taken. Other general comments from people, relatives or on surveys were: Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 25 The care home could improve with more staff, more equipment (TV/ CDs), better hoist, more days out. Highfield is a very ‘user friendly’ facility and I am glad I chose this nursing home for my mother. My mum has a hospital visit this week Highfields rang me at home to inform me of timing/ details etc. Communication is good on first name terms and even known nicknames, which puts residents and visitors at ease. There is never an atmosphere when I visit, it is always a pleasant ambience. The information on the AQAA stated that all the equipment had been serviced. The hoists were serviced in March 2008. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 26 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 2 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 2 X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 2 Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 27 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 OP7 OP8 OP38 Regulation 16 Requirement The care plans must contained sufficient information to identify that the person’s needs have been met. This includes pressure area care. Risk assessments documents must be fully completed. 2. OP19 OP24 OP26 3. OP30 18 23 There are many areas of the service, which must be redecorated. Staff must receive up to date training in moving and handling, fire, and end of life care. The registered person must do monthly, unannounced visits and produce a report. Supervision had commenced, however all staff within the service must be appropriately supervised. 30/10/08 Timescale for action 30/10/08 30/10/08 4. OP33 26 30/10/08 5. OP36 18 30/10/08 Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 28 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard OP31 OP19 OP26 OP33 Good Practice Recommendations There should be a registered manager in post. There should be a rolling programme for redecoration and replacement of fittings, fixtures and equipment. There should be a mechanical sluice. There should be more management planning in the areas of training and supervision. Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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. Extracts may not be used or reproduced without the express permission of CSCI Highfield Nursing Home DS0000070354.V371602.R01.S.doc Version 5.2 Page 30 - 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. 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