Inspection on 02/08/05 for Highfield House

This inspection was carried out on 2nd August 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 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 19/01/06

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 02 August 2005 1:30pm 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 House C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hightfield House Address 2 Huncote Road Stoney Stanton Leicestershire LE9 4DG 01455 274331 01455 274331 Clough@BTInternet.com Mr Howard Clough 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) Mrs Christine Joy Clough Care Home 8 Category(ies) of DE Dementia(1) registration, with number OP Old Age(7) of places Highfield House C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 19/01/2005 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 C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection took place on a weekday afternoon between 1.30pm & 5pm. Planning for the Inspection took approximately two hours and included reviewing the details of a Complaint received close to the scheduled date of the Inspection. The Inspection focussed on those aspects of the Service raised in the Complaint. The Pre-Inspection information returned by the Provider was also reviewed together with two Comment Cards from relatives and three Comment Cards from Professionals who have had contact with the home. On the day of the Inspection four Comment Cards from residents were collected. The Registered Person had assisted residents to complete these. Care plans and other documents were examined; discussions were held with three residents, the Registered Person and one member of staff. What the service does well: What has improved since the last inspection? What they could do better: The Registered Person should ensure that all residents at risk of falls have an appropriate risk assessment in place. Any excess medication should be returned promptly to the pharmacist. Improvement is also needed in the level of stimulation and activities available for residents. Highfield House C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 Page 6 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 C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 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 House C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 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 Residents’ needs are effectively assessed before they move into the home. EVIDENCE: Three residents’ assessments were seen and their needs discussed with the Registered Person and a member of staff. Details in the assessment corresponded with those outlined during these discussions. Discussion also took place with some of the residents, which again confirmed details within the assessment document. Highfield House C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 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) 7,9,10 Care plans set out residents’ needs well but some improvement is needed in some areas of risk assessment. Residents’ health needs are generally well met and medication is managed and administered reasonably well. Residents’ right to privacy is upheld. EVIDENCE: Three care plans were examined; these covered all aspects of care physical, emotional and social. Care notes were detailed and fully recorded events in residents’ lives. One resident who had experienced several falls did not have a suitable risk assessment in place although risk assessments of this kind were available for other residents. Medical conditions and health treatments were appropriately recorded in residents’ care notes. Residents have access to optical services in the village although the home is experiencing some difficulty in accessing NHS chiropody for some residents. Medication was stored securely, medication records were fully completed and staff are currently undertaking further training in this area. Some unused medication had been removed from its dispensing box and placed unlabelled in a plastic pot in the medication cabinet. Highfield House C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 Page 10 Residents on their Comment Cards said that they felt their privacy was respected and this was confirmed during discussion. Staff were observed to address residents appropriately. Highfield House C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 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) 12,13,15 Good provision is made for residents to maintain contact with their relatives and friends but improvements are needed in the level of stimulation and activities provided. Well-balanced, home cooked food is served in pleasant surroundings. EVIDENCE: Residents spoke about their relatives visiting regularly; this was confirmed by the Registered Person who said they could visit at any time. The two relatives who submitted Comment Cards said that they could visit their relatives in private and were kept informed of important matters affecting their relatives. The Registered Person said that it was difficult to generate enthusiasm for engaging in activities amongst the relatives and trips out to events in the village had been offered but refused. The general feeling from residents was that there wasn’t much to do except for watching television. Of the four residents currently living in the home two felt the home did not provide suitable activities and two felt they sometimes did. Food is home cooked and offers a good variety with fresh vegetables being served on a daily basis. Home made cakes and puddings are also served at lunch and teatime. All four residents said that they liked the food. Food is served at individual tables; two of which look out over the garden. Residents said the table arrangement was satisfactory. Highfield House C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 Page 12 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) These Standards will be assessed at the next Inspection. EVIDENCE: Highfield House C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 Page 13 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) 19,23,26 The home provides a clean and comfortable environment in both individual and communal areas. EVIDENCE: There is a programme of routine maintenance in the home and a new door and window have been recently installed. The home’s gardens are large and attractive and accessible to residents. Communal rooms are comfortably furnished with good natural and artificial light. Bedrooms are spacious, well equipped and personalised. The carpet on the upstairs landing was a little ruffled; the Registered Person said they would monitor this. On the day of inspection the home was clean tidy and fresh smelling Highfield House C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 Page 14 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 30 There are sufficient, appropriately trained staff to meet the needs of residents and recruitment practices are thorough ensuring residents’ protection. EVIDENCE: Currently there are four residents living at the home and for the majority of the day there are two staff members on duty. There are periods after lunch and in the evening when one staff member is on duty with another staff member being on call. One member of staff, usually the Registered Person sleeps in at the home. Relatives who submitted Comment Cards stated that they felt there were sufficient numbers of staff on duty. All four residents felt they were treated well by staff and said they felt well cared for. The Recruitment records of the most recently employed staff member were examined. These included a full application form, Criminal Records Bureau check and two written references. This staff member is currently undertaking a formal induction process and documentary evidence of this was seen. Highfield House C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 Page 15 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) 33,37,38 Efficient record keeping and the implementation of regularly reviewed policies and procedures effectively promote the safety and welfare of residents. EVIDENCE: The Registered Person reviews the home’s policies and procedures annually. Residents and their relatives are informed about the Commission for Social Care Inspection and given Comment Cards to complete concerning their views on the home. All records examined were up to date and are stored securely when not in use. Some records are kept on computer as well as hard copy and the Registered Person is aware of his obligations under the Data Protection Act. Staff have received training in key areas such as food health and hygiene, moving and handling and first aid. It is recommended that training be updated in the two former areas for some staff. Electrical, central heating and fire systems are regularly checked. Highfield House C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 Page 16 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 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x 3 x x 3 STAFFING Standard No Score 27 3 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 x x x x x 3 x x x 3 3 Highfield House C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 Page 17 No 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 7 Regulation 15 Requirement The Registered Person must ensure that all residents identified as being at risk of falls have an appropriate risk assessment in place. The Registered Person must ensure that excess medication is returned to the pharmacist and documentatry evidence of this obtained. The Registered Provider must investigate ways of providing residents with more opportunities for stimulation through leisure and recreational activities in and outside of the home. Timescale for action From 02/08/05 2. 9 13 By 12/08/05 3. 12 16 By 31/08/05 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. Refer to Standard 19 38 Good Practice Recommendations The Registered Provider should continue to monitor the fit of the carpet on the homes landing. It is recommended that training in Food Health and Hygiene and Moving and Handling is updated for some C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 Page 18 Highfield House staff members. Highfield House C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 Page 19 Commission for Social Care Inspection The Pavilions 5 Smith Way, Grove Park Enderby, Leicestershire 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 C51 C01 S1755 Highfield House V221579 060705 STAGE 4.doc Version 1.40 Page 20 - 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. 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