Inspection on 20/12/06 for Highfield House

This inspection was carried out on 20th December 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 19/01/06

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 Susan Lewis Key Unannounced Inspection 20th December 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.V323994.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 House DS0000001755.V323994.R01.S.doc Version 5.2 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 clough@btinternet.com 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.V323994.R01.S.doc Version 5.2 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 19th January 2006 Date of last inspection Brief Description of the Service: The fees for 2006/07 are £320 to £379. A copy of the last published inspection report is available from the office. 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.V323994.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting residents and tracking the care they received through looking at their records and observing staff that provide their care. The inspection was unannounced and took place over 7hours one Wednesday in December 2006, and was conducted by one inspector as part of the annual inspection process. A partial tour of the building took place and a selection of residents’ bedrooms was inspected. Other information that was used to inform this report was the pre-inspection information provided by the registered manager, including comment cards received from residents, accident and incident reports received since the last inspection as well as the previous inspection report. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Highfield House DS0000001755.V323994.R01.S.doc Version 5.2 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.V323994.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. Residents do not move to the home without having their needs assessed and knowing that they will be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Currently there are only three residents in the home and all three care plans were viewed for the purpose of this inspection. Care plans showed that all residents had been assessed prior to moving to the home and that the assessment then informs the care plan. Intermediate Care is not provided in this service. Highfield House DS0000001755.V323994.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8,9 and 10 Quality in this outcome area is good. Residents’ needs are set out in individual plans ensuring their needs are met.. Residents’ health care needs are fully met maintaining their health and well being. Residents are protected by the homes policy and procedures for dealing with medication. Residents are treated with respect and their right to privacy is upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As there are currently only three residents living in the home, all three care plans were viewed for the purpose of this inspection. Each plan set out in detail what the residents needs were and how they were to be met. Each plan provided information regarding risks and how to minimise them. There was evidence where residents were at risk of developing pressure areas that appropriate equipment was obtained and liaison was sort with the district nurses, ensuring that any sores are dealt with Highfield House DS0000001755.V323994.R01.S.doc Version 5.2 Page 9 promptly for the benefit of the resident. Each plan provided evidence that health care professionals were in contact with the residents for all their health care needs this meant that they regularly saw opticians, chiropodists and GPs. Information received with the pre inspection questionnaire showed that the health care professionals that service the home are satisfied with the care the home provides. All plans are reviewed regularly ensuring that changing needs are identified and plans are amended to reflect this. Each resident is risk assessed as to their ability to self medicate. Currently the home administers all medication. The procedures are followed ensuring that residents receive their medication at the times they need and according to the prescription. Only trained staff administer medication and evidence of recent training was seen. Care plans also mention if the resident need any extra support with taking their medication this is good practice. All residents were in their own clothes and the residents spoken with said that staff spoke to them with respect and were always kind to them. Staff were heard to talk to residents in a friendly manner and address them as detailed on their care plan ensuring that they were called by their preferred name at all times. Highfield House DS0000001755.V323994.R01.S.doc Version 5.2 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. Residents enjoy the lifestyle they have in the home and it satisfies their social and cultural needs. Residents are able to maintain contact with their relatives and the community. Residents feel they are able to exercise choice and control over their lives. Residents receive wholesome, appealing and nutritious diet in pleasing surroundings at times convenient to them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents spoken with said that they spend the day as they want; they get up and go to bed when they want. One resident said that they were able to play dominoes with staff if they wanted to and enjoyed this. Comments were made like, ‘I am very content living here’. ‘Staff ensure I have everything I need’. ‘ I choose what I do and that’s perfect’. Comments received back on the Residents comment cards were ‘Highfield House is an excellent home run by dedicated cares.’ Highfield House DS0000001755.V323994.R01.S.doc Version 5.2 Page 11 Information about residents interests were on their care plans, however all the residents spoken with said that although trips are offered such as going to garden centres they preferred staying at home. Residents confirmed that they have visitors when they want and they are bale to visit at any time, they are able to see them in their bedroom or more usually in the lounge. All residents confirmed that they were able to bring in personal possessions from home and one resident commented that being able to bring some personal bits helped a lot when moving to the home. The midday meal was observed and appeared nutritious and appetising, residents spoken with said that they were very happy with the meals and said that that they had plenty and a good choice. Residents said that they are always asked what they want to eat. As a result of there only being a small number of residents in the home the manager asks the residents most days what they want to eat and structured menu does not exist. However residents all said that there was a good variety of meals given. It was also noted that the provider/manager also eats the same meals that are provided for the residents. There is a small pleasant dining room overlooking the garden and residents are able to choose where they sit. Highfield House DS0000001755.V323994.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. Residents are confident that their complaints will be listened to and acted upon. Residents are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Commission has received no complaints about this service since the last inspection. The home has also received no complaints since the last inspection. Residents spoken with all said that they would raise any concerns with the manager and all felt that she would deal with them quickly and appropriately. The complaints policy was displayed around the home and residents spoken with were aware of the policy. Residents spoken with all said that they felt they were safe and that staff did not shout at them or mistreat them in any way. Information regarding local procedures on Vulnerable Adults are available in the office and the proprietor who is active in the Care Homes Association is also aware of his responsibilities in protecting residents from abuse. Highfield House DS0000001755.V323994.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. Residents live in a safe well-maintained environment. The home is clean, pleasant and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was well maintained and evidence was seen that the Registered Person is improving the windows throughout the home. Residents spoken with said that they felt the home was clean and comfortable. The garden was a pleasant private area where resident could sit in the better weather. There was also a large conservatory that again resident could use in warmer weather. Comments received on the Residents comment cards when asked is the home fresh and clean ‘To a very high standard.’ Highfield House DS0000001755.V323994.R01.S.doc Version 5.2 Page 14 The home was clean throughout and although the Registered Person has dogs that live in the home there was no strong smell of dog in the home. Residents spoken with said that they like having the dogs around. The laundry facilities are suitable to meet the needs of the residents. Highfield House DS0000001755.V323994.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. Residents’ needs are met by the number and skills mix of staff. Residents are in safe hands at all times. Residents are protected by the home’s recruitment policy and procedures. Staff are trained and competent to do their jobs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff rotas were seen and evidence was seen that the Registered Person uses the Residential Forum Guidelines to determine the staff hours needed to meet the needs of the residents. Currently from evidence seen hours exceed those recommended by the Forum. This is good practice. The manager is involved in providing care in the home but as the Registered Person is available daily and is involved in ensuring that the paperwork and procedures are regularly updated this does not impact on the welfare of the residents. Training records show that staff are provided with up to date training and that the Registered Person keeps up to date with changes in care practice. There are no new staff employed in the home since the last inspection and as the recruitment records met the standard at that inspection they were not viewed at this inspection. Highfield House DS0000001755.V323994.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35 and 38 Quality in this outcome area is good. Residents live in a home that is well run and managed by a person fit to do so. Residents’ financial interests are protected. The health, safety and welfare of residents and staff are promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As it is a small home and the Registered Person and manager are husband and wife, the running of the home is a joint arrangement that appears to work well for the benefit of the residents. They are very experienced in running care homes and as previously mentioned active in East Midlands Care. Regular training is undertaken and both the manager and provider are aware of the Highfield House DS0000001755.V323994.R01.S.doc Version 5.2 Page 17 conditions associated with aging. Due to the very good standard of paperwork within the home information is available to staff and the home appears well managed. Residents spoken with said that they felt that ‘Christine (the manager) ran a tight ship’. Residents’ monies were stored appropriately and records showed what money had come in and what it had been spent on. This ensures that residents are not at risk of financial abuse. Records were seen of staff training and mandatory training is completed at regular intervals. The fire officer and Environmental Health officer have completed inspections in 2006 and no requirements were made. Risk assessments are carried out on Windows in residents’ bedrooms ensuring that they are not at risk of falling out of them. All accidents are recorded and information of accidents or incidents is sent to the Commission ensuring that the Commission is kept up to date of anything that may adversely affect residents. Highfield House DS0000001755.V323994.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Highfield House DS0000001755.V323994.R01.S.doc Version 5.2 Page 19 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.V323994.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 House DS0000001755.V323994.R01.S.doc Version 5.2 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!