Inspection on 28/04/05 for Highfield Hall Care Centre

This inspection was carried out on 28th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Highfield Hall Care Centre 06/02/07

Highfield Hall Care Centre 28/09/05

Highfield Hall Care Centre 04/01/05

Highfield Hall Care Centre 17/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Highfield Hall Care Centre Grane Road Haslingden Lancashire BB4 5ES Lead Inspector Susan Hargreaves Unannounced 28 April 2005 06:45 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 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 Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Highfield Hall Care Centre Address Grane Road Haslingden Lancashire BB4 5ES 01706 222326 01706 219455 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ashbourne Homes Limited Mrs Carole Ann Ashbourne Care Home with Nursing (N) 75 Category(ies) of Dementia - over 65 years of age (DE(E) 21 registration, with number of places Old age, not falling within any other category (OP) 52 Mental disorder, excluding learning disability or dementia over 65 years of age (MD) 2 Female Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The total number of service users within these categories not to exceed 75 (seventy five) 2 Staffing for service users requiring nursing care will be in accordance with the Notice issued on 15 January 2002. 3 Within the overall total of 75 a maximum of 25 service users requiring nursing care who fal into the category of OP. 4 Within the overall 75 a maximum of 33 service users requiring personal care who fall into the category of OP. 5 Within the overall 75 service users a maximum of 21 service users requiring personal care who fall into the category of DE(E). 6 Within the overall 75 service users, 2 named servcie users requiring personal care who fall into the category of MD(E). 7 When any of named service users are no longer resident in the home, the registration must be changed to reflect this. 8 The registered provider must, at all times, employ a suitably qualified and experienced person who is registered with the Commission for Social Care Inspection as manager of Highfield Hall Care Centre. Date of last inspection 04 January 2005 Brief Description of the Service: Highfield Hall Care Centre is a two storey purpose built care home in its own grounds. The home offers 24 hour care for up to 75 older people who require either nursing or personal care. There is also a separate dementia unit. Accommodation is provided in single en-suite rooms. Communal lounges and dining rooms are located on both floors. A passenger lift facilitates access to all areas of the home. There is an enclosed garden, which is easily accessible to residents. there is ample parking for staff and visitors. Highfield Hall is situated in the small town of Haslingden close to local amenities and public transport. Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 8 hours. No additional visits have been made since the last unannounced inspection. A tour of the premises took place and staff files and care records were inspected. Members of staff on duty, residents and visitors were spoken to. Discussions also took place with the manager regarding issues raised during the inspection. What the service does well: What has improved since the last inspection? Care plans were clearly written and reviewed monthly. Residents were encouraged to get up at a time of their choosing. Residents who chose to get up early were given breakfast. Staff files contained all the necessary information. All the registered nurses have completed first aid training. This ensures that a member of staff qualified to administer first aid is always on duty. Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 Page 6 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. Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 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 standard(s) 3 Admission procedures were thorough. Comprehensive pre-admission assessments were completed for each resident prior to admission. EVIDENCE: Individual records of 9 resident’s were inspected. Each contained a detailed pre-admission assessment of need. A senior member of staff visited prospective residents in hospital or their own home prior to admission. The manager of the Dementia Unit gave a good account of her assessment procedure. She said she went to the hospital and questioned other health professionals and examined paperwork. She said she had decided during one assessment not to take the person. This demonstrated how the person in charge took account of residents accommodated at the home by using good assessment procedures. The assessment of need provided valuable information for the care plan. The general manager explained that all future residents would receive written confirmation that their assessed needs could be met at the home. Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 The health, personal and social care needs of the residents were identified and met. Care was given in a manner, which promoted the privacy and dignity of all residents. Medication was well managed promoting good health. EVIDENCE: The individual care plans of 9 residents were inspected. These identified the needs of each resident and explained how these needs were met. Appropriate risk assessments including, moving and handling, falls, pressure sores and nutrition were in place. Records of the visits of other healthcare professionals e.g. GP, dentist, chiropodist, district nurse etc. were included in the care plans. All care plans were reviewed monthly and updated when necessary. Residents and their relatives were, if possible, involved in planning care. Two visitors on the dementia unit said that they had seen their relative’s care plan and that Highfield was a smashing home. They also explained that prior to admission their relative’s bedroom had been redecorated in her favourite colour. Two residents said that they attended outpatients, doctors and dentists etc. All the residents spoken with praised the staff for their care and hard work. Members of staff were observed attending to residents in a patient and sensitive manner. Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 Page 10 Medication was stored correctly and administered by appropriately trained members of staff. Three staff members questioned during the inspection were aware of the issues surrounding privacy and dignity. Members of staff were taught about the preservation of privacy and dignity at induction or supervision. Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15. A variety of social activities to meet the needs and preferences of residents were organised. Visitors were welcome at anytime. Residents were encouraged to make decisions relating to lifestyle and daily routines. The meals were varied and offered choice. Special diets and individual tastes were catered for. EVIDENCE: Four residents were consulted about activities and life in the home. They said the activities were appropriate for their needs. All four residents chose what they wanted to do and could join in or not if they wished. One resident described how she “enjoyed singing and getting all the others going” when the entertainer came. One resident said, “I prefer to stay in my room and watch TV or listen to music” The manager of the dementia unit explained that activities were decided on a daily basis according to the weather and the mood and preferences of the residents. This often included one to one reminiscence and word puzzles. Residents who wished were allowed to do household tasks e.g. dusting, washing up and baking. Trips to local attractions were arranged when the weather permitted. Several residents had recently visited Townley Park. All residents spoken to said visiting was open and non-restrictive. One visitor said, “Visiting is not a problem. Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 Page 12 All residents spoken to said that they had choice in food, getting up and going to bed. No resident said choice was restrictive. Although several residents were up and had eaten breakfast before 7.00am the reason for this was recorded in the care plans. None of these residents said that they had wanted to stay in bed longer. Three residents said food was “good” and one resident said food was “satisfactory”. One resident, who needed a special diet, said that she didn’t like the meals. The inspectors had a meal during the inspection and observed residents being allowed a leisurely meal. Residents who needed feeding were observed to be fed in an individual and dignified manner. Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 Page 13 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 standard(s) 16 and 18 Complaints were taken seriously and investigated. Appropriate procedures and training were in place to ensure the protection of residents at the home. EVIDENCE: A comprehensive complaints procedure was in place. Three complaints had been made to the home since the last inspection. Only one of these was upheld and appropriate action had been taken. Written records of all complaints, investigation and any action taken were available. Four residents spoken to during the inspection said they were aware they could complain. Residents said they would “complain to the manager or nurse in charge”. Policies and procedures relating to the protection of vulnerable adults were in place. Members of staff received appropriate training. Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 Page 14 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 standard(s) 19, 24 and 26 Continued updating of the facilities and environment maintained a comfortable and safe environment for residents. EVIDENCE: The inspector carried out a tour of the building during the inspection. The building was well maintained, clean, tidy and warm. This provided a safe and comfortable environment for residents. The health and safety of residents was maintained by the use of mobility equipment and aids. Aids observed were hand rails, disability equipment such as wheelchairs and walking frames, pressure relieving devices and incontinence aids. Residents had personalised their rooms. Four residents questioned said they were very happy with their rooms. This provided the residents with a homely atmosphere. Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 Staff were trained and in sufficient numbers to look after the residents needs. Recruitment procedures were good. EVIDENCE: Examination of the duty rota confirmed that staffing levels during the day were sufficient to meet the assessed needs of the residents. However, during the night only 2 care assistants were on duty on the dementia unit. Bedrooms on this unit are on both floors of the home. This leaves one floor unattended if both carers are required to attend to the needs of one resident. An additional member of staff on duty during the night would ensure adequate supervision of residents on both floors of this unit. Four staff members were questioned during the inspection. All had received induction and a variety of training such as moving and handling, food hygiene, resident’s welfare, tissue viability etc. Staff said they were to attend further training on items they had not attended. Staff questioned working on the dementia unit had received appropriate training. Two staff files examined contained certificates for the courses they had undertaken. The service demonstrated a commitment to staff knowledge in the areas they worked. Staff files contained all the information required by the Commission. Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 35 and 38 The management structure of the home ensured sound leadership and support for residents and staff. Appropriate procedures were in place to safeguard the health, safety and welfare of residents. EVIDENCE: Staff were very complimentary to the manager of the dementia unit and said she was “very caring”, “approachable” and “committed” The general manager was also described as “approachable” Money was pooled at the home in a bank account separate from the parent companies. There was a good audit trail for each resident. It was recommended that the home check with their legal department to ensure monies banked on behalf of service users could not be utilised for the parent company if financial difficulties occurred. Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 Page 17 All the registered nurses have completed training in first aid. This ensures that a member of staff qualified to administer first aid is always on duty. Training was ongoing for all other aspects of health and safety training. Appropriate policies and procedures relating to health and safety were available. Safety notices were displayed in the home. Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x 3 x 3 STAFFING Standard No Score 27 2 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 x x 3 x x 3 Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 Page 19 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 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. 1. Refer to Standard 27 Good Practice Recommendations An additional member of staff should be on duty on the dementia unit during the night in order to ensure adequate supervision and safety of residents. Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 1st Floor, Unit 4 Petre Road Clayton-Le-Moors, Accrington Lancashire. BB5 5JB 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 Highfield Hall Care Centre F57 F07 S22505 Highfield Hall Care Centre V222111 April 28th 2005 Stage 4.doc Version 1.30 Page 21 - 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!