Inspection on 08/11/05 for Highfield House

This inspection was carried out on 8th November 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 12/01/09

Highfield House 23/01/07

Highfield House 13/02/06

Highfield House 29/03/05

Highfield House 19/10/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Highfield House High Street Castle Cary Somerset BA7 7AN Lead Inspector John Hurley Unannounced Inspection 8th November 2005 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 DS0000016098.V261601.R01.S.doc Version 5.0 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 DS0000016098.V261601.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Highfield House Address High Street Castle Cary Somerset BA7 7AN 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) 01963 350697 01963 350697 highfieldhouse@yahoo.co.uk MR STEPHEN JOHN BIDDLECOMBE MRS PHILIPPA GRACE BIDDLECOMBE MR STEPHEN JOHN BIDDLECOMBE Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Highfield House DS0000016098.V261601.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th March 2005 Brief Description of the Service: Highfield House provides residential services for 22 adults under the “older people” category of registration. Mr and Mrs Biddlecombe own, and have managed the home since 1988. The home is located in the main street of Castle Cary, close to all the town’s amenities. Nearby larger towns include the county town of Taunton and Yeovil. There is a rail station on the outskirts of Castle Cary with a main line to London. The home consists of a period main house to which extensions have been built at later dates. Service users accommodation is on two floors. There is a passenger lift and a stair lift. All bedrooms are single and all have washing facilities. Fifteen bedrooms have en-suite toilets. There are five communal toilets, two adapted bathrooms and a walk-in shower for communal use. The home has a number of communal rooms, a conservatory and large, attractive gardens with level access. Food is cooked on the premises by catering staff. Highfield House DS0000016098.V261601.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on an unannounced basis over three hours. The main focus of the inspection was to talk with service users and establish if they was satisfaction with the services on offer. The inspector viewed all areas of the home and met with service users individually and as a group. The inspector spoke with four members of staff and the registered manager. A number of records were examined including a sample of service users care plans, risk assessments, staff records and health and safety records. 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 DS0000016098.V261601.R01.S.doc Version 5.0 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 DS0000016098.V261601.R01.S.doc Version 5.0 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): 3,4,6 The assessment documentation is clear and evidences the involvement of the service user, their family, advocates and other stake holders. EVIDENCE: The inspector viewed the pre admission documentation, which in general terms was comprehensive and informative. Care managers on behalf of the local authorities had made a number of these assessments. The service users the inspector spoke with confirmed that they had been involved in pre admission process and agreed with arrangements made. They further confirmed that they had been supplied with information with which to make decisions. The manager confirmed that intermediate care is not offered at the service. Highfield House DS0000016098.V261601.R01.S.doc Version 5.0 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): 7,8,10 The service user care plans reflect the assessment of need and provide a good framework for the staff to provide care in a consistent manner. EVIDENCE: The care plans observed have been generated from the pre admission assessment documentation. They are reviewed after the first month and amendments made. The plans note health care needs and how these should be met. A service user told the inspector that they knew what was in their care plan and had been consulted about its content. They said that they had sat down with a member of staff and told them how they wanted to be helped. Another service user further said that they liked the staff and that they are always treated nicely. One of the sampled records evidenced how the home works with others to address the health care needs of the individual. This file demonstrated that due to service users changing needs a review was called. This was attended by the family of the individual and invited health care professionals. Although the outcome of that meeting was to look for a more suitable placement it is clear Highfield House DS0000016098.V261601.R01.S.doc Version 5.0 Page 9 from the documentation that the service user, the family and health care workers were in full agreement with the stated plans. Highfield House DS0000016098.V261601.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 The service users who can and wish to follow their own chosen lifestyle do so For those individuals who require a little more help in making choices, the staff assist in an unobtrusive manner. The daily rhythm of life appears relaxed and unhurried. EVIDENCE: One individual informed the inspector that they enjoyed the routine within the home. They confirmed that they visited the village on a regular basis unaccompanied. They further informed the inspector that staff had been made available to take them on short journeys when the need arose. On sampling the service user records it is clear that individuals can and do make real choices about how they wish to live. On individual has established their own routine where they enjoy the company of others for lunch but not for dinner, and so staff bring the evening meal to their room. Through discussion with this individual the inspector was told how they occasionally request breakfast in bed, which is always provided without a fuss. In a group discussion with the service users the inspector learnt that relatives and friends can visit at any reasonable time. They further learnt that individuals felt safe at the home and considered the staff to be approachable Highfield House DS0000016098.V261601.R01.S.doc Version 5.0 Page 11 and caring. Service users appeared to be able to identify key personal such as the manager and their senior support staff. The inspector discussed the mealtime arrangements with a group of service users. There was a general consensus that there was sufficient food on offer at varying times of the day. They further commented on the pleasant dinning room. Highfield House DS0000016098.V261601.R01.S.doc Version 5.0 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 the following standard(s): At the time of the inspection the manager informed the inspector that no complaints had been made to the homes management; similarly none had been made directly to the regulator. Furthermore there has been no vulnerable adult investigations or issues raised, therefore this group of standards were not inspected in this cycle. The will be fully inspected at the next inspection. EVIDENCE: Highfield House DS0000016098.V261601.R01.S.doc Version 5.0 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 the following standard(s): 19,20,21,23,24,25,26 The home continues to provide a good standard of accommodation which has retained a degree of domestic character. EVIDENCE: The inspector arrived at 9.15 on an unannounced basis. The home was being cleaned when the inspector toured the premises. All toilets observed where in good clean condition. The risk assessment documentation relating to the home is adequate to ensure the home is a safe environment. All communal areas are well lit and ventilated. All furnishing have a domestic look to them and strip lighting is avoided where possible. The service users rooms are comfortable and well maintained. A service told the inspector that they had brought in some of their own photos and keepsakes. They said that they liked their room and felt it was furnished to their liking. Highfield House DS0000016098.V261601.R01.S.doc Version 5.0 Page 14 Fifteen bedrooms have en-suite facilities. The remaining seven rooms have washing facilities. Rooms without en-suite have WCs and bathrooms nearby. A bathroom on the ground floor complements these. During a refit of this ground floor bathroom an additional communal WC has been introduced. There is further adapted bathrooms and a walk-in shower. The home has a number of appropriate aids. These aids were observed as being in good clean, serviceable condition. Highfield House DS0000016098.V261601.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29,30 The homes management continue to ensure that training and individual learning guides and informs care practice. Appropriate checks are undertaken on all staff. EVIDENCE: The inspector viewed some of the staff records. These appear to evidence that there are good training opportunities at the home and that they have undertaken training in such areas as manual handling, first aid, safe administration of medication and vulnerable adults training. The well-kept records further evidence that training is ongoing and the management have good systems in place to monitor that the training is up to date. The inspector sampled the staff files that demonstrated that comprehensive checks are undertaken on all staff to ensure the suitability of any prospective new member of staff. The files were well laid out and comprehensive. Highfield House DS0000016098.V261601.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33 The home is well managed and provides needs lead service. EVIDENCE: The registered manager / owner has been in charge for a number of years. They are both open and frank in their style of management and contributed positively to the inspection process. The staff informed the inspector that they feel they are fairly treated by the manager and that they appreciate that they (manager) will work alongside them when necessary. Highfield House DS0000016098.V261601.R01.S.doc Version 5.0 Page 17 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 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 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 x 17 x 18 x 3 3 3 x 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X x Highfield House DS0000016098.V261601.R01.S.doc Version 5.0 Page 18 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. 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 DS0000016098.V261601.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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. 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