Inspection on 19/01/06 for Highfield House

This inspection was carried out on 19th January 2006.

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 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 House 25/07/07

Highfield House 20/12/06

Highfield House 02/08/05

Highfield House 19/01/05

Highfield House 30/06/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Highfield House 2 Huncote Road Stoney Stanton Leicestershire LE9 4DG Lead Inspector Ruth Wood Unannounced Inspection 18th January 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 Highfield House DS0000001755.V276477.R01.S.doc Version 5.1 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 House DS0000001755.V276477.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Highfield House Address 2 Huncote Road Stoney Stanton Leicestershire LE9 4DG 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) 01455 274331 08701325604 Mr Howard Clough Mrs Christine Joy Clough Mrs Christine Joy Clough Care Home 8 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (7) of places Highfield House DS0000001755.V276477.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Named Service User To be able to admit the named person of category DE(E) named in variation application number V10814 dated 11 August 2004 02 August 2005 Date of last inspection Brief Description of the Service: Highfield House is a large detached building situated in the village of Stoney Stanton in South Leicestershire. It provides a service for up to eight older people in spacious yet homely surroundings. The home has a comfortable lounge, which leads into the dining area. There is also a large conservatory. The furnishings and décor of the home are in keeping with the period of the building. There is a large well-maintained garden, which also contains an aviary. The home also has ample parking space to the front of the building. The Proprietors of the home have one well-behaved pet dog and a staff members two dogs are frequent visitors to the home. All bedrooms are for single occupancy and the majority (six) are located on the first floor, which is accessible via a stair lift. There are two bedrooms on the ground floor. Bedrooms are spacious and well equipped, six having en-suite facilities (toilet and wash hand basin). Highfield House DS0000001755.V276477.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place on a weekday morning between 11am and 12.30pm. The majority of key standards had been assessed at the previous Inspection at which three Requirements were made. These have all been met and no new Requirements were made. Discussion was held with all four residents, Mr and Mrs Clough (the Registered Provider and Manager) and two other members of staff. All residents’ care plans and other documents were examined. 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. Highfield House DS0000001755.V276477.R01.S.doc Version 5.1 Page 6 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 House DS0000001755.V276477.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: The key standards were inspected at the previous inspection on 2nd August 2005. Highfield House DS0000001755.V276477.R01.S.doc Version 5.1 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 Residents’ needs are accurately reflected in their care plans and health care needs are well met. EVIDENCE: All four residents’ care plans were examined. Care needs were discussed with residents, the manager and staff members and details in care plans were an accurate reflection of discussed needs. Plans showed evidence of regular, monthly review and contained risk assessments relating to pressure area care and management of falls for all residents. Residents’ health care needs were also discussed, in particular the recent improvement in the health of one resident. Medical conditions and health treatments were appropriately recorded in residents’ care notes. Residents have access to optical services in the village and a private chiropodist visits regularly. Discussion and examination of records showed that local GPs and District Nurses provide support in pressure area care and monitoring medication levels. Highfield House DS0000001755.V276477.R01.S.doc Version 5.1 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,14 Residents’ recreational needs are met. EVIDENCE: A requirement was made at the previous inspection that ways be explored of providing more stimulation for residents. One staff member has been allocated responsibility to ensure that each resident has one-one time to play games such as dominoes or cards on a daily basis and other opportunities such as shopping trips are made available when the weather allows. Residents said that they enjoyed playing the indoor games. One resident attends a religious meeting outside of the home. Residents can and do bring a wide range of personal possessions into the home and their rooms are highly personalised. Highfield House DS0000001755.V276477.R01.S.doc Version 5.1 Page 10 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Good systems are in place to deal with complaints and ensure residents are protected from abuse. EVIDENCE: A clear Complaints Procedure is contained in the ‘Service Users’ Guide; all residents have a copy of this document. Residents would bring concerns to any staff member or to Mr and Mrs Clough (The Registered Provider and Manager). A range of policies is in place dealing with Adult Protection including recognition of abuse and whistle blowing. The Registered Provider has obtained an updated version of the local Adult Protection Procedures and demonstrated awareness of his responsibilities under this Guidance. Recruitment practices (examined at the previous inspection) are thorough and contribute positively to the protection of residents from abuse. Highfield House DS0000001755.V276477.R01.S.doc Version 5.1 Page 11 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 The home was clean, tidy and fresh smelling. EVIDENCE: Areas of the home viewed at the inspection were clean, tidy and comfortable. Highfield House DS0000001755.V276477.R01.S.doc Version 5.1 Page 12 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28 Residents’ needs are met by sufficient numbers of competent staff. EVIDENCE: At the time of Inspection there were two staff members on duty together with the Registered Provider. The Registered Manager was also on the premises during some of the inspection. For the majority of the day there are two staff members on duty with brief periods after lunch and in the evening when one staff member is on duty with another on call. One member of staff, usually the Registered Person, sleeps in at the home. Mr Clough went through each of the four residents in turn outlining their risk assessment and how the level of staff on duty met their needs. The most recently appointed staff member stated that she had completed the ‘Skills for Care’ induction programme and said that she had found this to be very useful. Highfield House DS0000001755.V276477.R01.S.doc Version 5.1 Page 13 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,35 The home is well managed and residents’ financial interests are safeguarded. EVIDENCE: The Registered Manager and Provider have been running the care home for eighteen years and are active members of East Midlands Care. They undertake regular training and demonstrate familiarity with the conditions/diseases associated with old age. Clear lines of accountability exist within the home and good communication was observed between the provider, manager and other staff members. Residents’ families hold the responsibility for managing the majority of resident’s finances but a small amount of petty cash is held for each resident. Clear records were in place for this. Highfield House DS0000001755.V276477.R01.S.doc Version 5.1 Page 14 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X X Highfield House DS0000001755.V276477.R01.S.doc Version 5.1 Page 15 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Highfield House DS0000001755.V276477.R01.S.doc Version 5.1 Page 16 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 House DS0000001755.V276477.R01.S.doc Version 5.1 Page 17 - 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!