Inspection on 26/01/06 for Hill Barn

This inspection was carried out on 26th January 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

Hill Barn 10/01/08

Hill Barn 20/12/06

Hill Barn 26/05/05

Hill Barn 08/03/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Mabbs Hall Nursing Home

Henrietta House

Firstlings

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

CARE HOMES FOR OLDER PEOPLE Hill Barn Church Lane Sparham Norwich Norfolk NR9 5PP Lead Inspector Mrs Marilyn Fellingham Unannounced Inspection 26th January 2006 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 Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 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. Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hill Barn Address Church Lane Sparham Norwich Norfolk NR9 5PP 01362 688702 01362 688040 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) Mr Richard Shand Smart Dr Maria Smart Mrs Tracey Joanne Woolnough Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26), Physical disability (1) of places Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Hill Barn is a care home providing residential care for twenty-five older people and one older person with a physical disability. The home is located in the village of Sparham. The home is an adapted barn with later extensions including a newly opened ten-bedded wing. All accommodation is located on the ground floor. There are twenty-four single rooms and one shared room. Twenty-one of the bedrooms provide en-suite facilities. The home also offers a choice of sitting in three locations and ample assisted bathing facilities. There is a delightful garden that those service users who choose to, can access very easily; it also provides sheltered areas where people can enjoy the garden. Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over three and a half hours. A tour of the premises took place and opportunity was taken to speak with some service users, relatives and staff members, this was in addition to the senior staff who were on duty. Some care and staff records were inspected. Standards were examined that had not been inspected at the last inspection. What the service does well: What has improved since the last inspection? A new gazebo has been erected in the garden. A deputy manager has been employed. Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 Page 6 New dining chairs have been purchased along with table cloths. A new hoist has also been purchased. Three rooms have been redecorated and recarpeted. 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. Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 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 the following standard(s): 3. Service users are only admitted into the home if their assessed needs can be met. EVIDENCE: Assessment documentation for a new service user was examined, this indicated that a comprehensive system is used to assess needs of prospective service users. Care plans are then formulated from this assessment so that the assessed needs can be met. Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 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 the following standard(s): 7,9,10. The service user’s health, personal and social needs are met as far as possible. The care planning system is clear and provides staff with enough information to meet the health care needs of the service users. Records for evaluation of care needs to be more evident. The handling and administration of medication remains safe. Service users dignity and respect are observed. EVIDENCE: Four care plans were examined by the inspector; they were found to be very informative and gave clear guidelines for care in relation to the assessed needs; however there needs to be more records made in relation to the evaluation of the care that has been prescribed. Those service users and relatives spoken to by the Inspector expressed that they felt that they had everything that they needed and that they were treated with respect by all staff. Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 Page 10 A random check was made of MAR charts and medication, all those examined tallied and suitable records were made on the charts; stock levels were acceptable with no out of date medications being held. All staff who administer medication have attended a training session on the administration of medication; some are going to attend a more extensive course on medicines and their related side affects. Records were seen for this. Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14. The home offers a range of options to satisfy service users social and recreational needs. Relatives and visitors are made very welcome. Service users are encouraged to make choices, all care is planned around individual choices as far as possible and as conditions allow. EVIDENCE: A programme for activities was seen, this is on display on the resident’s notice board so that they have prior knowledge of daily events; this allows them to make choices and plan their days. This programme was in an easy to read format. Exercise classes are given once a week, visits are made by outside associations to give talks on for example, Norfolk Lavender, hobbies and old toys. Those residents spoken with indicated that they enjoy the activities that are planned for them and that they feel they are sufficient to meet their needs and meet their expectations. Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 Page 12 Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 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 the following standard(s): 18 The home continues to make every effort to ensure that their residents are protected from abuse. EVIDENCE: Policies and procedures for dealing with abuse were inspected and remain up to date and in keeping with the present legislation. Training in all related abuse subject matter continues to take place and this was confirmed by those staff members spoken to during the inspection process. Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 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 the following standard(s): 19,25,26. This home continues to be well maintained and offers a safe environment to its service users. EVIDENCE: A tour of the home took place and it was very clean and fresh throughout, two rooms have been re decorated and carpeted since the last inspection. The home has access to specialist plumbing and electrical facilities which help to ensure the home is safely maintained. The home is about to be assessed again for fire risk by an outside consultant in order for it to keep up to date with current legislation in relation to fire hazards in homes. Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 Page 15 Risk assessments for the environment are in place but the inspector noted that they had not been reviewed for a year and a recommendation was issued to encourage the home to do this. Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 Page 16 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): 27,29. Staff are employed in sufficient numbers to adequately meet the needs of the service users. The home’s recruitment practices are good. EVIDENCE: The duty rosters were examined for the past two weeks, the present week and the future week; these indicated that the home is well staffed and can most ably meet the needs of the service users. The home does not have a large turnover of staff and most have been in post for a number of years. Service users spoken to indicated that they felt they were well looked after and were in safe hands. The Inspector examined the recruitment records for two new members of staff and they were found to be in order and reflected the home’s awareness in relation to protecting the service users. Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 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 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): 33,35,36. The home ensures that the residents receive consistent quality of care, however the home must develop its quality monitoring system that is in place. The health welfare and safety of the residents is continually promoted. EVIDENCE: The home strives to ensure that the residents receive adequate care in relation to their needs; this was evident through discussion with relatives, staff, the service users themselves and inspection of the care plans. However the home needs to develop further its system for monitoring the quality of care that they give and relative records need to be kept for this activity and a recommendation is made to encourage this especially to enable the home to move forward at the next inspection. Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 Page 18 Service users financial interests are safeguarded by others not associated with the home as the home takes no responsibility for service users monies. A minimal amount of money is retained, by the service users, if they wish and kept in lockable facilities in their rooms. Records are kept of all transactions and these were found to be in order. The home has commenced a formal programme for supervision, however this needs to be further developed. A programme has been purchased by the home to enable the manager to do this. It is recommended that more work is done in relation to the system for supervision so that the results may be seen at the next inspection. Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 4 X X x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 4 x x x x x 3 4 STAFFING Standard No Score 27 4 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x x 3 x x Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 Page 20 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. 1. 2 3 Refer to Standard OP36 OP25 OP33 Good Practice Recommendations It is recommended that the system for formal supervision be expanded and developed in order to meet the criteria for this standard. It is recommended that the risk assessment for the environment be kept up to date. It is recommended that the system for monitoring quality be further developed with records of actions made. Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Hill Barn DS0000062383.V279206.R01.S.doc Version 5.1 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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