Inspection on 01/08/05 for Highfield Private Rest Home

This inspection was carried out on 1st August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Private Rest Home 11/09/08

Highfield Private Rest Home 15/09/06

Highfield Private Rest Home 24/01/06

Highfield Private Rest Home 03/11/04

Highfield Private Rest Home 21/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Highfield Private Rest Home 77 Seabrook Road Hythe Kent CT21 5QW Lead Inspector Julian Graham Announced 1 August 2005 9:30 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 Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Highfield Private Rest Home Address 77 Seabrook Road, Hythe, Kent, CT21 5QW 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) 01303 267036 01303 261669 info@highfieldresthome.com David Leonard Wadmore and Brenda Ann Wadmore Dallas Lorraine Morris Care home only 30 Category(ies) of Older people x 30 registration, with number of places Highfield Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 03/11/04 Brief Description of the Service: The Home provides residential care for up to 30 Older People. The Home comprises detached premises, with gardens to the front and rear, and parking for approximately ten cars. The Home is situated a short drive from the nearest town, with shops, health centres, churches, a library and other facilities, and is short walk from the sea front. The service provided includes varying levels of assistance with personal care. The Home’s ethos is to provide an environment which is as relaxed and homelike as possible. A great emphasis is placed on encouraging Residents to remain as active and independent as possible, and a variety of activities are provided within the home to assist with this.The Home is owned by Mr and Mrs Wadmore and the Registered Manager is Mrs Dallas Morris. Highfield Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place over seven hours. Fourteen residents were spoken with, with most saying how much they like the home and the staff. One referred to the “brilliant staff, all of them, all kind and caring”. Another said it is “extremely good here.” A friend of one of the residents was visiting at the time of the visit and said he is very satisfied with the care his friend is receiving at the home. Time was also spent with the manager and one of the owners, staff were observed as they were going about their work and two carers were interviewed in private. A tour of the home was undertaken including viewing the communal areas of the home, toilets and bathrooms, a small number of bedrooms and the garden. A number of records were examined including care plans, complaints, medication records and two staff files. Twenty six feedback comment cards were received from residents prior to the inspection and twelve from relatives/representatives. These were predominantly very positive. What the service does well: Highfield Private Rest Home has a very relaxed, friendly and welcoming atmosphere. Residents were seen communicating with staff with ease. The premises is attractively decorated, is being well maintained, and is homely and comfortable. The gardens are colourful and interesting, and provide residents with a lot of pleasure. An aviary and pond add to the interest. A range of social and leisure activities are regularly offered to residents to add interest to their day, although the wishes of those not wishing to participate, are respected. Residents said that the routines are very flexible. The home strongly promotes residents’ rights to comment on the care and service and there was much evidence of residents feeling free to do this with confidence. They said staff take their views and opinions seriously and do all they can to address any matters raised. The home has done well to support a resident to regain some degree of mobility following a lengthy stay in hospital. Highfield Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 Stage 4.doc Version 1.40 Page 6 The home encourages participation on the part of representatives of the residents in the care of their relatives when they wish and also in the social and recreational activities provided in the home. 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 Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 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 Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 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) 3,4,5 The arrangements for admitting people to the home are good. EVIDENCE: Prospective residents are given a very informative “Welcome to Highfield” pack that includes a description of the home and what it aims to provide, and copies of the complaints procedure and the last inspection report. This gives prospective residents the information they need to enable them to make a decision about moving into the home. The manager said that the most recently admitted resident was able to visit the home first. The written pre-admission needs assessment on this person was seen and was comprehensive, enabling the home to judge the person’s suitability for admission. Highfield Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 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) 7,8,9,10 There is an excellent care planning system in place. Personal care is provided in a way that promotes residents’ dignity and privacy. The arrangements of the control and administration have improved. EVIDENCE: A sample of care plans were examined and these were to a high standard. They are clearly written and accessible documents, providing staff with the information they need to meet residents’ needs. Any potential risks were identified, detailing how they should be managed. There was evidence that residents were involved in the process of drawing up their care plans and of monthly review. Residents were all looking nicely dressed and very well presented. Staff who were interviewed demonstrated good knowledge and understanding of residents’ rights to privacy and dignity. Residents spoken with said that staff are polite and treat them with respect when providing personal care. Staff were observed during the visit treating residents with warmth, patience and sensitivity. Records showed that healthcare professionals are accessed as needed. Where appropriate, residents receive support to make their own contact with Highfield Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 Stage 4.doc Version 1.40 Page 10 healthcare professionals if they prefer, and it was noted at the time of inspection that a GP contacted a resident on her private phone in her room in order to make an appointment. The arrangements for the control and administration of medication were examined and improvements were noted. The home has transferred to a monitored dosage system, and staff administering medication have received training on the new system. A written assessment of competence in their ability to administer medication for these staff is available, and an example was seen. Two residents are self administering their medication, and risk assessments are in place and were seen. The frequency of monitoring the self administration needed to be more detailed in one of these, and was attended to at the time of inspection. Highfield Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 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) 12,13,14,15 Routines are flexible and residents are able to take part in the life of the home where they wish. The meals in the home offer both choice and variety and cater for special diets. EVIDENCE: Residents said that no restrictions are applied in the home and they are free to rise and retire when they like. Some of the residents are able to go out independently and are being supported in maintaining these daily living skills. Maintaining links with family and friends is encouraged, and residents said that their visitors are always made very welcome. The owner said that some relatives like to join in some of the social and leisure activities in the home and that their participation is welcomed. Since the last inspection, a staff member has been given greater responsibility in co-ordinating the social, leisure and recreational activities available for the residents to participate in. Residents can now get involved in a range of craft activities like decorating candles, making sweets and cards. There are also “theme” evenings every now and then, for example, Saint Patrick’s Day and VE Day. Some residents are growing tomatoes and outings are arranged on a regular basis. This is contributing to residents being able to have interesting days. Highfield Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 Stage 4.doc Version 1.40 Page 12 Comments from residents about the food were generally very positive. One resident said she appreciates the chef giving her the right amount of food on her plate. Another resident who has specific dietary requirements, said that the home will always get foods in that he is able to eat. The menus looked varied, and one resident said that she is going to be given the opportunity to put forward ideas for meals to be included on the menus when they are next changed. Jugs of fluid were seen in bedrooms and in the lounge. Highfield Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 Stage 4.doc Version 1.40 Page 13 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) 16,18 Residents know their complaints will be listened to and acted on. Arrangements for protecting residents are satisfactory. EVIDENCE: Complaints records were examined and show that residents feel able to raise any concerns they might have. There was evidence that the home takes residents’ concerns seriously and does what it can to address the issues raised. Residents said that they do feel comfortable in talking to the manager and staff about any concerns or complaints they might have. This demonstrates a very open and responsive culture within the home and is commended. The majority of staff have attended abuse training within the NVQ system and the two staff who were interviewed privately knew what action to take in the event of any allegation of abuse being made. Highfield Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 Stage 4.doc Version 1.40 Page 14 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) 19,20,21,23,24,25,26 The standard of the environment is good, providing residents with a comfortable and homely place to live. EVIDENCE: A tour of the communal areas of the home revealed good decorative standards, and a sample of bedrooms seen were very comfortable and attractive, with good evidence of residents being able to personalise their rooms and bring in small items of their own furniture and other possessions. Toilets and bathrooms were lockable, clean and welcoming. There is good access to the very attractive and colourful garden which has a number of interesting features. The home was clean and free from offensive odours. One resident commented on how well the home is kept clean, regularly spring cleaned and always free of unpleasant smells. Highfield Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 Stage 4.doc Version 1.40 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 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) 27,28,29,30A The deployment and number of staff is sufficient to meet the needs of the residents. Recruitment procedures are sound, offering protection to the residents. EVIDENCE: Rotas showed that there are generally four carers, cook and domestic on duty in the mornings, with the person in charge in addition to these numbers. In the afternoon and evening, there are normally two carers on duty with the cook, and also a supper helper between four and eight o’clock. Four of the relatives in their comment cards said that they feel there are not enough staff in the afternoons and evenings. There was no evidence to support this, in that the majority of the residents have low dependency needs; and those spoken with said that they do not have to wait long for any of their needs to be met. There was evidence of a range of activities taking place in the afternoons, and staff who were interviewed said that they do not feel rushed on the late shift, and that there is plenty of time to spend with residents either chatting with them or involving them in activities. There has been very little staff turnover since the last inspection, which provides continuity and consistency of care for the residents. The two staff interviewed said they enjoy working in the home and feel supported by the manager and the senior staff. One to one supervision with the manager is being provided every two months. The majority of staff have either gained a NVQ or are in the process of doing so, indicating that training is a priority in the home. Coupled with good staff supervision, this is resulting in a well motivated and supported staff team which is of benefit to the residents. Highfield Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 Stage 4.doc Version 1.40 Page 16 Two staff files were viewed and revealed that sound recruitment practice is being followed. It is a recommendation of this report that prospective staff are interviewed by two people and to include wherever possible, the manager or deputy manager. Highfield Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 Stage 4.doc Version 1.40 Page 17 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) 31,32,33,36,37,38 Residents are benefiting from a well run home. EVIDENCE: The manager is continuing to communicate a clear sense of direction and leadership to which staff and residents are responding positively. Both residents and staff said that the manager is very approachable. There is an open and welcoming atmosphere in the home, and the manager is continuing to receive good support from the owners who have a strong presence in the home. Records viewed were well maintained. The home uses a variety of ways to assess how well it is functioning, including annual audits undertaken by two professional associations to which it belongs. Periodic resident surveys are undertaken, the results of which are displayed in the home. The manager makes a point of speaking to all the residents Highfield Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 Stage 4.doc Version 1.40 Page 18 whenever she is in the home, and the owners are available most days. Any matters affecting the care and well being of residents are therefore picked up promptly. As referred to in the summary of this report, it is recommended that a fresh look is given to the way the residents’ committee is operating. Highfield Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 Stage 4.doc Version 1.40 Page 19 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 3 3 x 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 4 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 3 3 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 Standard No 16 17 18 Score 4 x 3 3 3 3 x x 3 3 3 Highfield Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 Stage 4.doc Version 1.40 Page 20 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 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. 1. 2. Refer to Standard 29 33 Good Practice Recommendations Job applicants to be interviewed by two people, and to include wherever possible the manager or deputy manager. To review the effectiveness of the Residents Committee. Highfield Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford, Kent TN23 1HU 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 Private Rest Home H56-H05 S23438 Highfield Private Rest Home V230879 010805 Stage 4.doc Version 1.40 Page 22 - 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. 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