Inspection on 13/06/07 for Highfield House Residential Home

This inspection was carried out on 13th June 2007.

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 Residential Home 12/02/10

Highfield House Residential Home 09/09/09

Highfield House Residential Home 04/09/08

Highfield House Residential Home 28/06/06

Highfield House Residential Home 02/02/06

Highfield House Residential Home 04/10/05

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 House Residential Home 67-69 Sudell Road Darwen Lancs BB3 3HW Lead Inspector Mr Graham Oldham Unannounced Inspection 13th June 2007 09:30 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 Residential Home DS0000064296.V338319.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 Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highfield House Residential Home Address 67-69 Sudell Road Darwen Lancs BB3 3HW 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) 01254 701273 F/P 01254 701273 Dhillon Financial UK Limited Miss Michelle Underwood Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service must employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 28th June 2006 Date of last inspection Brief Description of the Service: Highfield House is a detached property set in its own grounds. It has a small garden at the front, a car parking area at the side and a small enclosed garden area to the rear. Accommodation is provided in single rooms, one of which has an en-suite facility, (W.C. and wash hand basin). There are bedrooms on both the ground and first floors. A passenger lift connects the two floors. There are two bathing facilities and one shower facility. The home is on a bus route into Darwen Town Centre, and is approximately half a mile from the main shopping centre. A recently updated statement of purpose and service users guide is available for residents or their families to be informed of the facilities and services the home provides. The fees for Highfield House are £324 per week. Extra payment is required for hairdressing, newspapers or periodicals, toiletries and outings. Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection, which included a visit to the home, took place on the 13th June 2007. Much of the information gained was obtained from talking to residents and staff members. The views of residents were obtained on a variety of topics. Two residents were case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care, other documentation and talking to residents and staff. Two staff members were questioned about the care of the resident’s case tracked. Some of the views have been reported collectively with specific comments contained within the body of the report. The inspector took detailed notes during the inspection, which have been retained as evidence. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building was conducted. Two complaints were made to the Commission for Social Care Inspection since the last key inspection. One was substantiated. One adult abuse allegation was made against the home which was unsubstantiated. Further information can be obtained by reading standards OP16 and OP18. Several people living at the home were asked what they would like to be called in the report. All went for residents and two said it was a stupid question. The manager was asked to put the question to all residents at the next meeting for future reference. What the service does well: 7 relatives returned the Commission for Social Care Inspection (CSCI) survey forms and supplied the following information. • Five always got enough information to help make decisions and two usually. • Six always thought the care home met the needs of residents and one usually. One said my mother is happy at the care home where there is a good atmosphere and genuine concern for her welfare and happiness. • Four always thought the care home helped residents keep in touch, two usually and one sometimes. The family member who answered sometimes commented. I have received two letters from my mother, dictated to a carer in two years. I would appreciate more regular contact Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 6 but appreciate that there is not much ‘free time’ for the carers who are always busy with the residents. • All seven thought they were kept up to date with important issues. • All seven always thought the support given to residents was what was expected and agreed. • Four always thought care staff had the necessary skills to look after residents, two usually and one did not know and said, I do not feel qualified or informed enough to answer this question. I am not the employer. I am just an observer and an occasional one. • Four thought the care service always met the diverse needs of residents, two usually and one answered as above. • Six knew how to make a complaint and one did not. One person commented. When my mother first arrived I had to threaten such an action because of various problems. The care home was sold soon after her arrival and the current owner has made regular, concerted, genuine efforts to redress the balance. I am quite happy with the care home. • All seven thought the care home responded well to any concerns. One said I once raised the issue of my mother’s room having a bad odour. The room was cleaned the same day and I have not had to make any further remarks. • Four thought the care home always supported residents to live the life they choose and one usually. Two did not ‘tick the box’ but said. I don’t know and this question is ambiguous and poorly worded. I do not feel it is appropriate. • What the home does well. Comments included the home has a relaxed homely atmosphere and staff are usually bright and cheerful. Close human contact, warmth and concern are all qualities I have witnessed among the staff at the care home. Everything is OK. They look after my mother very well. She is very happy and I have no complaints. They allow my mother to come and go as she pleases and everything. • How the home can improve. Comments included I don’t know, the service is adequate, I cannot think of anything the could improve on and I am satisfied, I don’t think they can improve in any way. Some days are obviously better than others and improvements are being made constantly. Each time I visit there have been improvements to the facilities and the staff appear to get on well together. There is a team spirit and cohesion, which gives me confidence about the home. • Two wanted to say something else. Everything is fine and Highfield has changed a lot under the present ownership. He has reinvested money on improvements and the huge staff turnover has ceased. The manager is an excellent employee and she appears to have the respect and support of staff. She has made me feel more confident about my mother being there. Because of my infrequent visits (I live in France) I often phone and the manager is always takes time to explain how my mother is and how things are at the home. She is a great asset to Highfield. Relatives were very satisfied with the service residents received. Eight residents returned survey forms to the CSCI. • All eight residents had been issued with a contract. Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 7 • • • • • • • • • • • All eight residents had been given enough information to make a choice to move into the care home. Seven residents always received the care and support they needed and one usually. All eight thought staff always listened to them. All eight thought staff were always available when needed. Seven thought they always received medical support and one usually. Five thought there were always suitable activities at the care home, two usually and one sometimes. Six always liked the meals at the home, one usually and one sometimes. All eight knew who to speak to if they were unhappy. All eight knew how to make a complaint. Seven thought the home was always clean and one sometimes. Two residents said they were very happy living there and receive all the care and attention they need. Five residents were aged over 80 years old, two 70 – 79 and one 60 – 69. Six were female and two male. Seven were British and one Irish. All eight were Christian. Six had disabilities and two did not. The six had physical disabilities. Seven were heterosexual one declined to comment. Forms were completed by residents or assisted by key workers. All decided not to speak to an inspector. The very good responses showed residents were satisfied with the care and facilities at Highfield House. The assessment of residents enabled staff to gain the information to be able to meet their needs. Resident’s case tracked said, “I was poorly when I came but I am getting better. I had heard of this home and came for a look around. I liked it. It’s been all right for me. I chose this room”, and “I came for two weeks so I knew I liked it. I have settled in fine and I have no complaints. I am very happy here”. Residents and family survey forms showed sufficient information was given to residents prior to admission. Residents were able to make an informed choice to enter the home. Resident’s case tracked said, “They talk to me about my care every month and I sign to say I agree with it” and “They look after me all right and I am doing more for myself. They do well for me”. Residents were satisfied with the personal care they received. Residents case tracked said, “If you want anything the doctor or nurse will come” and “I get to see all the specialists – I went for a scan at the hospital last week. Nurse calls in for a knock I got”. Resident’s health care needs were attended to. Resident’s case tracked said, “They close the doors if they are helping me. They treat me privately when they give me a bath – lovely” and “Two girls give Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 8 me a bath and they treat me privately”. Personal care was given in a private way to protect the dignity of residents. Residents case tracked said, “There is nothing wrong with the food – I am happy with the food. I could not be any happier than I am here” and “The food is very good” Residents were satisfied food served at the home was suitable to their tastes. A resident case tracked said, “Visiting is not restricted. My son and grandchildren come here and also take me out for the day”. Survey forms demonstrated visiting was open. Visiting was encouraged for the social benefit of residents. A resident case tracked said, “There are no hard and fast rules about the home – you can choose what you want to do”. Residents had choices within the daily routine to maximise their independence. Residents case tracked said, “I like my room – it is very warm but I would complain if it was cold. They keep it clean and tidy” and “I like my room and I have all my own things”. Residents were able to personalise their rooms, which made them feel more at home and contented with their personal space. Other comments residents case tracked made were, “Everything is kept very clean. The laundry comes back all right. I take it off and they take it away. The girls are very nice. I like a good laugh with them. I am happy here and have no complaints” and “The washing comes back – smashing. The girls are lovely – all of them – no other words – you can have many laughs with them and we get on with them. The manager is very nice. Overall the home is very good”. Another resident said, “It’s a nice little place is this”. Residents were happy with the facilities, services and the attitude of staff, which helped them enjoy their stay at Highfield House. What has improved since the last inspection? The manager is now registered with the CSCI to meet current requirements. The responsible person had promoted good working relationships with staff for the benefit of residents. Staff were recruited in a professional manner to help protect residents from possible abuse. Staff were employed in sufficient numbers to meet the needs of residents. The system for ordering food supplies had been improved and freed staff time to care for residents. Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 9 Staff and owner relationships had improved significantly to provide a better atmosphere for staff to work in and a better environment for residents. Electrical and gas appliances and installation had been maintained to help protect the health and welfare of residents and staff. The environment had been improved in many areas including areas required and recommended at a previous inspection to provide better facilities and services for residents. 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 Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 10 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 Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 11 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): OP1, OP2, OP3 and OP4 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The statement of purpose, contract, service user guide and other documentation enabled residents to make an informed choice to enter the home. The assessment process ensured staff had sufficient information to be able to meet the needs of residents. EVIDENCE: Two residents were involved in the case tracking process. Both residents had been assessed prior to admission. A new resident was being admitted on the day of the inspection. The registered manager had completed a care plan following assessment and confirmed in writing the home could meet her needs. Social services had assessed the person as being suitable for residential care. The assessment of residents enabled staff to correctly place residents. The registered manager said all residents were issued with a service user guide upon admission. There was an up to date copy of the statement of purpose, service user guide and the last Commission for Social Care Inspection report Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 12 (CSCI) located in the entrance hallway for all to read. Each resident case tracked had signed a copy of the contract and been informed of writing the home could meet their needs. The good information supplied to residents ensured they had an informed choice to enter the home. Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 13 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): OP7, OP8, OP9 and OP10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Plans of care had been developed and reviewed to ensure staff were up to date with each residents needs. Residents had access to specialists to meet their health care needs. The good administration of medication protected the health and welfare of residents. Residents were treated with respect and dignity to ensure they were comfortable with the personal care they received. EVIDENCE: Two residents were involved in the case tracking process. This involved examining the plans of care, talking to residents about their care and discussing the care issues with two staff members. Care was delivered by staff, written accurately in the plans and met the expectations of residents. Plans had been developed with the aid of residents and reviewed on a monthly basis. Resident’s case tracked said care was good. Comment cards returned from residents demonstrated care given met their expectations. Relatives survey forms showed the service informed them of any significant issues. Residents case tracked were satisfied with their care. Plans of care enabled staff to meet the up to date needs of residents. Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 14 Each resident case tracked had their needs risk assessed. This included assessment for pressure area care, nutritional and moving and handling needs. A falls risk assessment had been completed. Plans of care contained evidence residents attended specialists. Equipment was provided for residents where a risk was demonstrated such as pressure relieving mattresses or frames and wheelchairs. Residents said they had access to health care specialists. Outpatient and other appointments were recorded within the plans of care. Residents had access to specialists to receive up to date care or advice. Policies and procedures for the administration of medication were up to date and had been reviewed in line with the Royal Pharmaceutical Societies guidelines. Medication records were up to date and contained no unexplained gaps. Staff had access to current medication publications and their local pharmacist to gain advice. There was a good system for the ordering, administration and disposal of medication. There was a Controlled Drug register and appropriate cupboard. There was a signature list for all staff who administered medicine. Residents signed their agreement to the level of support they needed for medication administration and where possible were able to self administrate. The safe administration of medication helped protect the health and welfare of residents. Residents were observed being helped in a dignified and good-natured way by staff. Residents who were involved in the case tracking process were satisfied they were treated with privacy and dignity and were comfortable with the care they received. Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 15 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): OP12, OP13, OP14 and OP15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Leisure activities provided were suitable to resident’s tastes and helped provide a fulfilling life. Visiting was open and unrestrictive to encourage socialising with family and friends. Residents were able to exercise choice to retain some independent living. The food served at the home met residents nutritional needs. EVIDENCE: Two residents were involved in the case tracking process and said they were satisfied with the level of activities on offer. Plans of care tell staff to promote independence and how to offer choice such as the times for getting up and going to bed or what they want to wear. Returned survey forms mainly showed a good response to leisure activities. There was an activities list and all activities were recorded in a ledger and individually in plans of care. Residents were offered choice within the routine and suitable leisure activities to enable them to lead a satisfactory life. Those case tracked received visitors without restrictions. Relatives survey forms were positive about communication and encouragement of visiting. Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 16 Open visiting enabled residents to meet and socialise with their family and friends. Information was available for residents to access the advocacy service. One resident being admitted on the day of the inspection had their own furniture and belongings put into the room prior to admission. Residents or their families handled their own finances. Residents had regular access to their records. The good choices residents were able to make promoted their independence. The meals served at the home were mainly stated as good from the returned residents survey forms. The meal served to residents at lunchtime was hot, tasteful and nutritious consisting of soup, a main course of meat pie, mashed potatoes and carrot with suede. A sweet was also available. Residents were fed in a personal way and care staff talked to residents as they were fed providing good interaction. Resident’s case tracked said food was good and there was a choice available. The kitchen was clean and tidy on the day of the inspection. Residents were satisfied with the food served at the home. Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 17 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): OP16 and OP18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were aware of their right to complain and confident to approach management with any concerns. Robust policies, procedures and staff training protected residents from possible abuse. EVIDENCE: Comment cards returned from residents, family members and residents said they knew how and whom they could complain to. The complaints procedure met current guidelines. Two residents case tracked knew how to complain but did not have any current concerns. Two complaints had been made to the CSCI since the last inspection. One was substantiated and five requirements issued. All have been resolved. Although the other complaint was substantiated, the home was acting in the best interests of a resident. Residents and their families were able to access the complaints procedure to voice their concerns. The home used the Blackburn with Darwen Adult Protection system to follow a local procedure. There was a copy of the ‘No Secrets’ document, whistle blowing and adult abuse policies and procedures. Both members of staff spoken to were aware of adult abuse issues and one had undertaken adult abuse training. Both residents case tracked felt safe at the home. There had been one reported adult abuse issue, which was unsubstantiated and did not Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 18 directly affect residents from the outset. Residents were protected from possible harm. Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 19 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): OP19 – OP26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents lived in a clean, tidy and safe environment. The home was well decorated with fixtures, fittings and furnishings domestic in character, which made for a homely and comfortable environment. The continued upgrading of the home provided better facilities for residents to enjoy. EVIDENCE: A tour of building was conducted on the day of the inspection and all communal areas and several bedrooms were visited. Several residents had chosen to eat lunch in their room and all were satisfied with their private space. Rooms had been personalised to resident’s tastes. The home was warm, clean and did not contain any offensive odours. Furnishings and fittings were domestic in character and a good standard. Bedrooms were furnished to resident’s satisfaction. Radiators had guards, windows were restricted and water temperatures controlled to 43 degrees centigrade. Records were maintained for water temperatures. There was a lift. Corridors were accessible Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 20 to residents accommodated at the home and there were grab rails to aid mobility. Baths were assisted for residents with mobility problems. Toilets had disability equipment and were situated near to the lounge and dining room. There was a seating area outside with a new table and chairs for residents to use in good weather. Bedding and other linen was satisfactory. One lounge had been redecorated, furnished and was now in use for residents. Further upgrading included corridors, some bedrooms, new dining tables and chairs and the front parking area and garden was undergoing construction. Two residents case tracked were satisfied with their rooms. One relative had commented upon how much had been done to improve the environment. The registered manager and owner had designated more areas of improvement in the plan of routine maintenance. The environment was being improved for the benefit of residents. The laundry was not sited near the kitchen although a food storage area was nearby. The laundry or other areas did not have suitable hand washing facilities. The washer and dryer met current requirements. There were infection control policies and procedures and staff trained in infection control issues. The laundry floor could easily be cleaned. The walls needed a coat of paint to allow staff to clean then sufficiently. Policies, procedures and staff training protected the health and welfare of residents. Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 21 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): OP27, OP28, OP29 and OP30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust recruitment procedures protected residents from possible abuse. Resident’s needs were met by the numbers and skill mix of a well-trained staff group. Induction and foundation training was undertaken in a professional manner to ensure staff are competent to meet the needs of residents. EVIDENCE: There was a more stable staff base due to the improving relationships between the Responsible Person and staff. The staffing rota demonstrated sufficient numbers of well-trained staff were on duty throughout the day. Staff received training in many aspects of caring for the resident group accommodated at the home. Over 80 of staff had attained NVQ qualifications and several staff were undertaking NVQ3. Resident’s case tracked said their care was good. Comment cards demonstrated staff listened to residents and were able to meet their needs. Induction training had been completed for the new employee. Each staff member had an individual training record and there was a staff training matrix for the home. Residents were satisfied their needs were met by staff employed at the home. All necessary documentation and checks had been obtained for the employment of staff to help protect the health and welfare of residents. Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 22 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): OP31, OP33, OP35 and OP38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is competent and runs the home in the best interests of residents. A quality assurance survey ensured residents were asked about the service, and their comments were acted upon. The financial systems protected residents from possible abuse. Health and safety policies, procedures and training protected the health and welfare of staff and residents. EVIDENCE: Resident’s case tracked managed their own financial affairs. A good and secure system was used for the pocket money the registered manager retained control of. The home did not undertake to manage the finances of residents and therefore the risk of financial abuse was minimal. Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 23 The manager was registered on May 30th 2007 and had almost completed NVQ4. The registered manager had updated her knowledge in areas such as protection of vulnerable adults, moving and handling, fire awareness and continence management training to provide good leadership to staff. There were health and safety policies and procedures. Health and safety legislation was available at the home. Staff were trained in health and safety, fire awareness, first aid, moving and handling, food hygiene and infection control. All electrical and gas appliances and installation had been maintained. Fire tests and drills had been carried out. Accidents were recorded. Health and safety policies, procedures and staff training helped protect the health and welfare of staff and residents. The registered manager had implemented a good quality assurance system. This included regular staff and resident meetings and obtaining the views of residents, family members and where possible visiting professionals. The views have been produced as a summary. There was a business plan. The responsible person had regularly carried out an audit on the service and supplied the results to the CSCI. The good quality assurance systems allowed management to react to the changing needs and views of those connected with the home. Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 24 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 3 4 3 3 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 3 3 3 3 3 3 2 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 4 X X 3 Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 25 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. 1. Standard OP26 Regulation 13(3) Requirement The registered person must make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the home. Timescale for action 30/07/07 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 OP8 Good Practice Recommendations The registered manager should, for good practice, record in the plans of care the type and maintenance date of pressure relieving or feeding devices to ensure the upkeep of the equipment can be suitably monitored. The registered person should ensure the walls in the laundry are painted to help reduce the risk of cross infection at the home. The registered manager should complete the registered managers award. 2. 3. OP26 OP31 Highfield House Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Residential Home DS0000064296.V338319.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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