CARE HOMES FOR OLDER PEOPLE
Hinckley Park Nursing Home 67 London Road Hinckley Leicestershire LE10 1HH Lead Inspector
Mrs Carole Burgess Unannounced 28 July 2005 09:30
th 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. Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service HinckleyPark Nursing Home Address 67 London Road Hinckley Leicestershire LE10 1HH 01455 615252 01455 612956 None Southern Cross Care Centres Limited 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) Mrs Rose Anne Goddin Care Home (CRH) 40 Category(ies) of Physical disability (PD) 3 both, Terminally ill (TI) registration, with number 1 both, Terminally ill over 65 years of age of places (TI(E)) 1 both, Old age, not falling within any other category (OP) 40 both, Physical disability over 65 years of age (PD(E)) 40 both. Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: 1. No persons falling within category PD may be admitted into the home where there are 3 persons of category PD already accommodated in the home. 2. No persons under 55 years of age who falls within category PD or TI may be admitted into the home. 3. No one falling within category TI or TI (E) maybe admitted into the home where there is one person of TI or TI(E) already accommodated in the home. 4. To be able to admit the person of category TI named in the variation application number 49858 dated 26th June 2003 Date of last inspection 5th April 2005 Brief Description of the Service: Hinckley Park Nursing Home is a care home with nursing facilities providing personal care and accommodation for up to forty older persons. It is a purpose built, three storey property with level entry access. It has two floors for residents use. Access to both floors is by use of a passenger lift or stairs. There is a third floor which accommodates the kitchen, laundry and staff room. There are thirty single bedrooms, seven with en suite facilities, and five double bedrooms, all with en suite facilities and additional bathrooms with assisted bathing facilities There are two communal areas with a television, two dining rooms and a conservatory and an attractive, recently refurbished garden to the rear of the building. The home is located close to the town centre of Hinckley where residents have access to shops, the library, the post office and other local amenities. The home is easily accessible by private or public transport. There is adequate parking. Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place over one day. An opportunity was taken to look around the home, view records, policies and care plans and to talk to staff, residents and their relatives and visitors. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they receive through a review of their records, discussion with the residents, their relatives (where available), the care staff and observation of care practices. Many of the residents were seen during the inspection. Three of the residents and two of the residents’ relatives, spoken with gave the Inspector their impressions of the home. What the service does well:
An acting manager (Matron) has been in post since October of last year. She has improved and updated the residents care plans and increased and improved the provision of freshly prepared food. Residents receive wellplanned and nutritious meals to suit their individual needs. Visitors are able to take free meals with their relatives. The standard of care is good, and the home is clean and well maintained and has a happy, lively atmosphere. There are a range of weekly activities and organises occasional trips. The staff team, which includes registered nurses, is well trained and able to meet the needs of the residents. Residents are encouraged to be active and maintain their independence as much as possible. There are good relationship between staff and residents. The residents (and relatives) spoken with said that they felt that they are well cared for and supported by the staff. Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.doc Version 1.40 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.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 Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.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 & 6. The admission process is well managed thereby ensuring that the residents’ health and welfare needs are being met. EVIDENCE: The pre-assessment process is detailed and robust and reflective of the health and welfare needs of the residents. The home does not provide intermediate care. All remaining standards were inspected and found satisfactory earlier in the inspection year. Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.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 &11. Residents are well cared for in respect of their health and personal care needs. Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.doc Version 1.40 Page 10 EVIDENCE: Care plans are detailed and reflect residents’ health and personal care needs. Contact with other healthcare professional is well documented. Further attention could be given to involving residents and/or their relatives in the care planning process. One resident’s file did not show resident/relative/representative involvement. Nevertheless, it is evident that Matron is addressing this issue and letters are to be sent to relatives to request that they participate (where the resident is unable) in the care planning process to ensure that residents receive optimum care. Medication is managed effectively within the home’s medication policy and procedural guidelines to ensure the safe and timely delivery of residents’ prescribed medicines. Residents are able to self-medicate if accessed as able to safely do so. Observation during the inspection showed that staff have a good awareness of how to protect residents privacy and dignity. They were seen to be kind and patient and treated the residents in a respectful, friendly and supportive way. Residents who are near to the end of their life can remain in the home where this is appropriate, in consultation with their GP and relatives. Staff are able to provide sensitive and supportive care at this difficult time. Two relatives said that they were consulted regarding their relatives care needs and were able to voice general comments and/or concerns at any time; that they had signed their relatives care plan and were very satisfied with the care provided. They were very complimentary about the staff and the care that they provided. Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.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 & 15. Residents experience a homely life style and visitors are welcome at any time. Various formal and informal activities are made available and meals are well presented and nutritious. Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.doc Version 1.40 Page 12 EVIDENCE: The home has designated activities on Monday, Wednesday and Friday, displayed on the activities board in the sitting room. There is a large screen television, video/DVD player, radio and hi-fi system. Residents enjoyed singing and listening to the organ. This year the residents have helped with the newly refurbished garden. They helped with planting and growing tomatoes and beans (which the residents had for lunch). The home also has a newly acquired rabbit called ‘Tilley’ for the benefit of the residents, who enjoy making a fuss of her. Two residents said that family and friends visit them regularly – a number of residents had visitors during the inspection. Visitors said that they were always made to feel welcome. There are regular residents/relatives meetings. Menus are balanced and appealing, and are flexible enough to accommodate individual preferences. They are freshly prepared and are of a good standard with choices at all meal times. Residents said that they enjoyed their meals and are able to choose when and where they take them. Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.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. Arrangements for receiving and responding to complaints are sound, resulting in satisfactory protection of residents’ rights. EVIDENCE: Residents and staff comments showed that people feel at ease discussing any concerns with Matron or the staff. Complaints and concerns made to the home are dealt with appropriately. The home’s complaints process reflects the government’s adult protection guidelines, set out in the No Secrets’ publication but this ought to be updating to ensure that current procedural guidelines are followed - as was identified in the previous report. Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.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. A comfortable and safe standard of accommodation is provided for the residents. Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.doc Version 1.40 Page 15 EVIDENCE: The home is well maintained and suited to residents’ needs. It is decorated and furnished to a high standard that creates a comfortable and homely environment and there is a system of maintenance and refurbishment. The garden has been upgraded to further improve the environment for the residents. Residents’ rooms are clean, well decorated and residents are able to bring items of their own furniture and possessions with them to personalise their rooms. Many of the rooms have en suite facilities and there are sufficient toilet bathing and assisted bathing facilities. Staff were observed to answer the call bells promptly. General risks are addressed such as, windows are fitted with safety restrictors and there is under floor heating, eliminating the risk of burns from radiators. Hot water temperatures were satisfactory when checked during the inspection and comply with Health & Safety requirements to ensure that residents are not at risk from scalding. All areas of the home smelled pleasant and were cleaned to a good standard. Two relatives said that the home was always clean and well maintained. Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.doc Version 1.40 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 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 & 30. Staff at the home are well trained and supported, and employed in sufficient numbers to meet the residents needs. EVIDENCE: Staffing levels were sufficient to meet the residents’ needs at the point of inspection and residents and their relatives said that they felt the staff were capable and caring, and that there were sufficient staff on duty. There are registered nurses and cares on all shifts, including nights. Training is well planned and supports staff in providing for the varied needs of the residents. The three staff files checked during the inspection showed that a satisfactory recruitment process is undertaken to ensure the protection of residents. Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.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, & 38. Matron, who has applied for Registered Manager status, demonstrates a commitment to managerial stability within the home. Effective supervision of staff further ensures that the quality of care is maintained. Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.doc Version 1.40 Page 18 EVIDENCE: Matron has been in post since October 2004. She is a registered nurse with many years of experience in care. The managerial experience and stability she has brought to the home has improved the overall care provided for the residents. Staff receiving regular supervision and/or appraisals to ensure that they maintain the standards of care that are required. The records of tests to the fire safety equipment and drills were recorded and health and safety issues were well documented and managed to ensure the safety of residents and staff. Residents and relatives said that they felt that the home was well managed; that they had no complaints and were happy with the care they received. Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.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 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 4
COMPLAINTS AND PROTECTION 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 3 28 3 29 3 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 3 4 4 x x x x 3 Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.doc Version 1.40 Page 20 YES 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 NONE 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. Refer to Standard 7.6 Good Practice Recommendations The Registered Person is recommended to ensure that the residents care plans are drawn up with the involvement of the resident; agreed and signed by the resident whenever capable and/or representative (if any). The Registered Person is recommended to ensure that the home has a copy of the current Provention of Vulnerable Adults Guidlines -No Secrets. 2. 18 Hinckley Park Nursing Home C51 C01 S1911 Hinckley Park V238561 280705 Stage 2.doc Version 1.40 Page 21 Commission for Social Care Inspection The Pavilions 5 Smith Way, Grove Park Enderby, Leicestershire LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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