Inspection on 26/05/05 for Hill Barn

This inspection was carried out on 26th May 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

Hill Barn 10/01/08

Hill Barn 20/12/06

Hill Barn 26/01/06

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 NR9 5PP Lead Inspector Marilyn Fellingham Announced 26 May 2005 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. Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Hill Barn Address Church Lane, Sparham, Norwich, NR9 5PP 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) 01362 688702 01362 688040 Mr Richard Smart Dr Maria Smart Mrs Tracey Woolnough Care Home 26 Category(ies) of Old Age (26) Physical Disability (1) registration, with number of places Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 08/03/05 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 I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that took place over four hours. A tour of the premises took place; staff and care records were inspected. The manager was present for the inspection as was one of the new providers. The Inspector spoke with six residents, one relative and four staff members; the resident’s liaison person was also spoken with. Comment cards were received from a number of residents and relatives and no adverse comments were made; most of the comment cards commended the home and the staff and stated that the care was very good. What the service does well: The service provides a very high standard of care taking into account individual choices. The home also provides an attractive, well-maintained safe and pleasant environment. The home has a group of staff that have worked at the care home for a long time. Residents spoken with and the relative, felt that the staff have good relationships with them and that the change of ownership had not impacted on the ethos of the home in any way. The home is very good at ensuring individual needs are met. The home manages activities well and continually strives to meet the expectations of all the residents. Meals are well balanced and offer a good choice available at every mealtime. Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 Page 6 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 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 Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 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) 5 The admission procedure for prospective residents is good. EVIDENCE: All prospective residents, relatives and friends are given the opportunity to visit the home prior to admission; this allows them to assess the suitability of the home and meet with the other residents. This was confirmed by staff and a new resident. The prospective residents are shown round the home and introduced to other residents by the residents liaison person who is also a resident: this gives them the time and opportunity to ask questions about the home and glean information from persons other than staff members. The resident liaison person explained this procedure to the Inspector. Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 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) 8,11 There are excellent arrangements in place to ensure that the health care needs of the residents are identified and met. Residents who are dying are treated with respect and the home ensures that all their related health care needs are met; they also make certain that the family members are supported during this period. EVIDENCE: Skin integrity assessments are carried out using a well known format, results are then documented and care planned as appropriate; it was noted by the inspector that care plans indicated preventative treatment. Nutritional screening is undertaken and weight monitored so that appropriate action can be taken; this was evidenced by inspection of the care plans. Inspection of the care plans also revealed that residents are enabled to have access to all specialist medical, dental, chiropody and therapeutic services. Palliative care advice is sought from specialist nurses if required. Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 Page 10 A policy and procedure is in place to guide staff how to ensure that the residents at the time of their death are treated with dignity and respect. There are also systems in place to make certain that all residents, staff and families are supported during bereavement. Relatives are given the opportunity to stay and all hospitality is offered whilst caring for the dying. Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 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) 12,14,15 Social activities and meals are managed exceptionally well with many opportunities for choices to be made. EVIDENCE: After discussion with some of the residents and staff members it was very evident that the residents days are flexible and that the home endeavours to provide a service that takes into account individual choices. This was also reflected in the individual plans of care. A comparatively new system is being introduced for managing meals, although in the early stages it appears to be working well: residents are being offered a much more varied choice on a daily basis and the menus are very much organised around the residents preferences for certain foods. This was decided after carrying out a service user and relative’s survey and after discussion at a residents and relatives meeting. The meals are presented in pleasant surroundings and the Inspector noted that the whole process was most unhurried and those that needed help were assisted in an empathetic way. Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 Page 12 Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 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) 16,17,18 Residents feel that any concerns that they might have are always handled objectively. The home is making every effort to ensure that its residents are well protected especially from any forms of abuse. EVIDENCE: The home has a robust procedure in place for dealing with abuse; the policies and procedures for this were inspected. All members of staff have attended a training session on abuse and those spoken to were very aware of the Whistle Blowing procedure and stated that they would have no hesitation in alerting the manager to any suspicion of abuse taking place. It was evident from the minutes of the meeting held with staff, residents and relatives that their views and complaints are taken very seriously and dealt with in a professional manner. A ‘stakeholders’ questionnaire was introduced to make certain that all agencies that are involved with the home had the opportunity to make observations about the home and the care. The results of this survey were seen by the inspector, all the comments made by the stakeholders were complimentary. Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 Page 14 Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 Page 15 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) 19,20,22,25,26 This is a very well maintained home that provides a safe and comfortable environment. EVIDENCE: A tour of the home took place and many of the rooms were inspected including all the communal areas. These were all found to be exceptionally clean and tidy, this was also confirmed by the residents, who stated that the home was always clean and that they enjoyed having the opportunity to chat with the domestic staff as they went about their duties. A number of the rooms have been redecorated and all the woodwork outside has been painted, this was noted on a tour of the home. There is a continuous maintenance programme. Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 Page 16 Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 Page 17 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) 28,30 The deployment of staff and the skill mix available is more than adequate to meet the needs of the residents. EVIDENCE: The home does not have a high turnover of staff and many have been there for a number of years. Many training sessions have taken place and NVQ training is ongoing and fulfilling the required objectives and outcomes for the standard. All staff have received training in emergency aid, fire instruction and those who are responsible for administering medication have had training to do so. Training plans were inspected and indicated that the staff were competent to do their jobs. In house training is given for manual handling and covered in the induction period for all new staff. Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 Page 18 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) 31,32,33,34,36,37,38 The ethos of the home encourages clear leadership and the direction given to the staff results in ensuring that the residents receive consistent quality care. Policies and procedures are up to date and are in line with current legislation and research. The health, welfare and safety of the residents are promoted. EVIDENCE: There is a very competent manager in post who along with the new owners continually strives to ensure that the residents receive good care. This was made very evident by discussions with staff, residents and inspection of the care plans and other records that are essential for the promotion of every residents well being. Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 Page 19 Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x 4 x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 4 9 x 10 x 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 4 15 4 COMPLAINTS AND PROTECTION 4 4 x 4 x x 4 4 STAFFING Standard No Score 27 x 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 4 4 4 3 x 3 4 4 Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 Page 21 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 No requirements made 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. Refer to Standard 36 Good Practice Recommendations It is recommended that the staff participate in sessions on formal supervision to increase their understanding of the process. Hill Barn I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 Page 22 Commission for Social Care Inspection 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 I55 S62383 Hill Barn V220895 260505 Stage 4.doc Version 1.20 Page 23 - 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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