Inspection on 01/06/09 for Hothfield Manor Centre

This inspection was carried out on 1st June 2009.

CQC found this care home to be providing an Poor service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hothfield Manor Centre 02/04/09

Hothfield Manor Centre 02/03/09

Hothfield Manor Centre 15/05/07

Hothfield Manor Centre 15/11/05

Hothfield Manor Centre 07/06/05

Hothfield Manor Centre 11/03/05

Hothfield Manor Centre 14/12/04

Extracts from inspection reports are licensed from CQC, this page was updated on 06/08/2009.

Random inspection report Care homes for adults (18-65 years) Name: Address: Hothfield Manor Centre Church Lane Hothfield Ashford Kent TN26 1EL zero star poor service 02/04/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Paul Stibbons Date: 0 1 0 6 2 0 0 9 Information about the care home Name of care home: Address: Hothfield Manor Centre Church Lane Hothfield Ashford Kent TN26 1EL 01233643272 01233611433 hothfield.manor@fshc.co.uk www.huntercombe.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Hothfield Manor Ltd care home 24 Number of places (if applicable): Under 65 Over 65 0 physical disability Conditions of registration: 24 The maximum number of service users to be accommodated is 24 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the service are within the following category : Physical disability (PD) Date of last inspection Brief description of the care home Hothfield Manor Centre is a care facility registered to provide accommodation, personal care and support for up to 24 adults with a physical disability. The Centre provides care to people who have an acquired brain injury. The accommodation is in two specific areas, these being 12 single bedrooms in the Manor House and 12 single bedrooms in terraced chalet bungalows within the grounds. Some of the bedrooms have en-suite facilities. Five of the chalet bungalows are for 2 people and 1 bungalow has been constructed to enable 2 people to experience supported independent living. Care Homes for Adults (18-65 years) Page 2 of 20 0 2 0 4 2 0 0 9 Brief description of the care home The Home has well maintained gardens. Parts of the care home and grounds are not fully accessible to wheelchair users. There is adequate car parking space within the grounds. The Centre is located approximately 5 miles from the town of Ashford. The Home has its own transportation and there is a shop/post office within walking distance. Staffing comprises of a Registered Manager, Assistant Managers, support staff, a cook, domestic staff, gardeners and an administrator. Care Homes for Adults (18-65 years) Page 3 of 20 What we found: This compliance visit was conducted on the 1st June 2009 over a period of four hours from 10:50 am until 14:50 pm. This compliance visit was in relation to a breach of Regulations 15(1), (2) (b) (c) in that the home had failed to ensure that care plans fully record all assessed needs, personal goals and wishes of individual service users. Further, a breach of Regulation 12(4)(a) in that the home had failed to ensure that the practices in the home ensure the service users are treated with respect and their dignity is maintained at all times. The inspector held discussions with the registered manager, staff members and service users. Three care plans were examined and staff training records were viewed. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 4 of 20 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 1 5 5(1) The registered person 26/06/2009 shall produce a written guide to the care home (in these Regulations referred to as the service users guide) which shall include - (a) a summary of the statement of purpose; (b) the terms and conditions in respect of accomodation to be provided for service users, including as to the amount and method of payment of fees; (c) a standard form of contract for the provision of services and facilities by the registered provider to service users; (d) the most recent inspection report; (e) a summary of the complaints procedure established under regulation 22; (f) the address and telephone number of the Commission. The current service user guide does not accurately reflect services and facilities at the home, and is misleading. The registered person must revise and update the service user guide to accurately reflect the services and facilities at the home. Care Homes for Adults (18-65 years) Page 5 of 20 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 2 1 6 (6) The registered person 26/06/2009 shall - (a) keep under review and, where appropriate, revise the statement of purpose and the service users guide; and (b) notify the Commission and service users of any such revision within 28 days. The current statement of purpose and service user guide are innacurate and misleading. The registered person must review both documents and produce a statement of purpose and service user guide which accurately reflects the current services and facilities in the care home. 3 1 4 The registered person shall 26/06/2009 compile in relation to the care home a written statement (in these Regulations referred to as the statement of purpose) which shall consist of - (a) a statement of the aims and objectives of the care home; (b) a statement as to the facilities and services which are to be provided by the registered person for service users; and (c) a statement as to the matters listed in Schedule 1. The current statement of purpose does not accurately reflect services and facilities in the home and is Care Homes for Adults (18-65 years) Page 6 of 20 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action misleading. The registered person must ensure that the statement of purpose reflects current services and facilities to ensure prospective service users and their representatives are given correct information about the home to assist them in making a decision about where to live. 4 2 14 14(1) The registered person 05/06/2009 shall not provide accommodation to a service user at the care home unless, so far as it shall have been practicable to do so (a) needs of the service user have been assessed by a suitably qualified or suitably trained person; (b) the registered person has obtained a copy of the assessment; (c) there has been appropriate consultation regarding the assessment with the service user or a representative of the service user; (d) the registered person has confirmed in writing to the service user that having regard to the assessment of the care home is suitable for the purpose of meeting the service users needs in respect of his health and welfare. To ensure the care home is suitable for the service user and meets his assessed needs. Care Homes for Adults (18-65 years) Page 7 of 20 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 5 7 12 Regualtion 12(3) The 05/06/2009 registered person shall, for the purpose of providing care to service users, and making proper provision for their health and welfare, so far as practicable ascertain and take into account their wishes and feelings. The registered person must ensure that the views, wishes and feelings of service users are sought and acted upon. All service users must be involved in planning their care. This must be recorded and reflected in care planning documentation. 6 7 12 12(2) The registered person 05/06/2009 shall so far as practicable enable service users to make decisions with respect to the care they are to receive and their health and welfare. The registered person must ensure that all service users are consulted about their care and support needs, and are enabled to make decisions about their lives, and that these decisions are recorded. 7 9 13 Have policies in the home that are relevant to the home so that a staff have guidance to work in a consistent 08/05/2009 Care Homes for Adults (18-65 years) Page 8 of 20 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action manner 8 11 12 12(1)(b) The registered 05/06/2009 person shall ensure that the care home is conducted so as - (b) to make proper provision for the care and, where appropriate, treatment, education and supervision of service users. To ensure service users have opportunities for personal development, and that staff enable service users to have opportunities to maintain and develop social, emotional, communication and independent living skills. 9 12 16 16(2)(n) The registered 05/06/2009 person shall having regard to the size of the care home and the number and needs of service users - (n) consult service users about the programme of activities arrange by or on behalf of the care home, and provide facilities for recreation including, having regard to the needs of service users, activities in relation to recreation, fitness and training. To ensure that staff help service users to continue their education or training, and/or to take part in valued and fulfilling activities. 10 13 16 16(2)(n) The registered 05/06/2009 person shall having regard to Page 9 of 20 Care Homes for Adults (18-65 years) Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action the size of the care home and the number and needs of service users - (n) consult service users about the programme of activities arranged by or on behalf of the care home, and provide facilities for recreation including, having regard to the needs of the service users, activities in relation to recreation, fitness and training. To ensure that service users are offered appropriate opportunites to access activities in the local community, and that staff support service users to become part of, and participate in, the local community in accordance with assessed needs and the individual plans. 11 17 16 16(2)(i) The registered 22/05/2009 person shall having regard to the size of the care home and the number and needs of service users - (i) provide, in adequate quantities, suitable, wholesome and nutritious food which is varied and properly prepared and available at such time as may reasonably be required by service users. To ensure that service users are offered a healthy, nutritious and well balanced diet. To ensure service users Care Homes for Adults (18-65 years) Page 10 of 20 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action are offered choices at mealtimes. To ensure service users are consulted and have imput into menu planning. 12 22 22 22(5) The registed person 25/05/2009 shall supply a written copy of the complaints procedure to every service user and to any person acting on behalf of a service user if that person so requests. To ensure the service users and their representatives receive an up to date copy of the complaints procedure. 13 22 22 22 (2) The complaints procedure shall be appropriate to the needs of the service users. The registered person ensures that there is a clear and effective complaints procedure, which includes the stages of, and timescales, for the process, and that service users know how and to whom to complain. 14 24 23 23(2)(c) The registered 28/04/2009 person shall having regard to the number and needs of the service users ensure that (c) equipment provided at the care home for use by service users or persons who work at the care home is maintained and in good working order. 22/05/2009 Care Homes for Adults (18-65 years) Page 11 of 20 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action The registered person must ensure that all cookers and boilers are working and residents are not left without heat, hot water, or cooking appliances. 15 24 23 23(2)(f) The registered 27/04/2009 person shall having regard to the number and needs of the service users ensure that (f) the size and layout of rooms occupied or used by service users are suitable for their needs. The registered person must ensure that residents rooms are comfortable and meet their needs, preferences and wishes. Residents must be supported to put their belongings in their room, and not have their personal possessions left in boxes. 16 24 23 23(2)(o) The registered 31/08/2009 person shall having regard to the number and needs of the service users ensure that (o) external grounds which are suitable for, and safe for use by, service users are provided and appropriately maintained. The registered person must ensure that work is undertaken in the gardens and grounds which will ensure that all people with physical disabilities, including wheelchair users, can access the gardens and grounds of Care Homes for Adults (18-65 years) Page 12 of 20 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action the home by way of appropriate pathways, and that this access is safe. 17 32 18 18(1)(c)(i) The registered 12/06/2009 person shall, having regard to the size of the care home, the statement of purpose and the number and needs of the service users - (c)(i) ensure that the persons employed by the registered person to work at the care home receive training appropriate to the work they perform. The registered person must ensure that staff at the home receive appropriate training to ensure the needs of service users are met. 18 32 12 12(4) The registered person 15/05/2009 shall make suitable arrangements to ensure the care home is conducted - (a) in a manner which respects the privacy and dignity of service users. The registered person must ensure that staff respect service users and have attitudes and characteristics that are important to them. This includes being accessible to, approachable by, and comfortable with service users. 19 32 18 18(1) The registered person shall, having regard to the size of the care home, the 12/06/2009 Care Homes for Adults (18-65 years) Page 13 of 20 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action statement of purpose and the number and needs of the service users - (a) ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. The registered person must ensure that there are staff employed in sufficient numbers to meet the assessed needs of all individual service users. 20 33 18 18(1)(a) The registered 17/07/2009 person shall, having regard to the size of the care home, the statement of purpose and the number and needs of the service users - (a) ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. The registered person must ensure that the home has an effective staff team, with complementary skills which enable them to support service users assessed needs at all times. This includes receiving suitable training in acquired brain injury. Care Homes for Adults (18-65 years) Page 14 of 20 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 21 37 12 12(1)(a) The registered 30/06/2009 person shall ensure that the care home is conducted so as - (a) to promote and make proper provision for the health and welfare of service users. The registered manager and registered provider must ensure that the written aims and objectives of the home are acheived and that policies and procedures are implemented. 22 38 10 10(1)(a) The registered 29/05/2009 provider and the registered manager shall, having regard to the size of the care home, the statement of purpose, and the number and needs of the service users, carry on or manage the care home (as the case may be) with sufficient care, competence and skill. The registered provider and the registered manager must ensure that service users benefit from the ethos, leadership and management approach of the home. 23 39 24 24(1) The registered person 31/07/2009 shall establish and maintain a system for (a) reviewing at appropriate intervals; and (b) improving, the quality of care provided at the care home. Care Homes for Adults (18-65 years) Page 15 of 20 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action The registered person must ensure that there is effective quality assurance and quality monitoring systems, based on seeking the views of service users, are in place to measure success in achieving the aims, objectives and statement of purpose of the home. 24 39 24 24(2) The registered person shall supply to the Commission a report in respect of any review conducted by him for the purposes of paragraph (1), and make a copy of the report available to service users. The registered person must undertake a review of the service, send a copy of this report to the Commission, and share the report with service users. 25 39 24 24(3) The system referred to 30/06/2009 in paragraph (1) shall provide for consultation with service users and their representatives. The registered person must ensure that he consults with, and seeks views and opinions from, service users and their representatives, in relation to carrying out the review of the service. 26 42 13 13(5) The registered person shall make suitable 30/04/2009 31/07/2009 Care Homes for Adults (18-65 years) Page 16 of 20 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action arrangements to provide a safe system for moving and handling. The registered manager must ensure safe working practices. This includes ensuring residents who require support with moving and handling receive this support from staff who have been appropriately trained. 27 43 25 25(2) The registered person 30/06/2009 shall, if the Commission so requests, provide the Commission with such information and documents it may require for the purpose of considering the financial viablility of the care home, including, (a) The annual accounts of the care home certified by an accountant; (b) a reference from a bank expressing an opinion as to the registered providers financial standing; (c) Information as to the financing and financial resources of the care home; (d) Where the registered provider is a company, information as to any of its associated companies; The registered person must supply the Commission with all the information and documentation listed in this requirement. This will enable the Commission to make a judgement on the financial Care Homes for Adults (18-65 years) Page 17 of 20 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action viability of the care home. 28 43 25 25(1) The registered person 29/05/2009 shall carry on the care home in such manner as is likely to ensure that the care home will be financially viable for the purpose of achieving the aims and objectives set out in the statement of purpose. The registered person must ensure the care home has a sufficient budget to meet the aims and objectives of the care home, and meet the assessed needs of individual service users. Care Homes for Adults (18-65 years) Page 18 of 20 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 19 of 20 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 20 of 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!