Inspection on 15/11/05 for Hothfield Manor Centre

This inspection was carried out on 15th November 2005.

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

Hothfield Manor Centre 01/06/09

Hothfield Manor Centre 02/04/09

Hothfield Manor Centre 02/03/09

Hothfield Manor Centre 15/05/07

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 09/07/2008.

CARE HOME ADULTS 18-65 Hothfield Manor Centre Church Lane Hothfield Ashford Kent TN26 1EL Lead Inspector Mrs Sue Gaskell Announced Inspection 15th November 2005 11:00 Hothfield Manor Centre DS0000023445.V250904.R01.S.doc Version 5.0 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 Hothfield Manor Centre DS0000023445.V250904.R01.S.doc Version 5.0 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 Adults 18-65. 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. Hothfield Manor Centre DS0000023445.V250904.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hothfield Manor Centre Address Church Lane Hothfield Ashford Kent TN26 1EL 01233 643272 01233 611433 information@hothfieldmanor.co.uk 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) Hothfield Manor Limited Mr Keith Lionel Hutchinson Care Home 21 Category(ies) of Physical disability (21) registration, with number of places Hothfield Manor Centre DS0000023445.V250904.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One (1) person with a date of birth of 18.09.1937 Date of last inspection 19th July 2005 Brief Description of the Service: Hothfield Manor Centre is a care facility registered to provide accommodation, personal care and support for up to 21 adults with a physical disability. The Centre specialises in the provision of care to people who have an acquired brain injury and offers the accommodation in two specific areas, these being 11 single bedrooms in the Manor House and 10 single bedrooms within 5 terrace chalet bungalows within the grounds. Some bedrooms have en-suite facilities. The Home has a well maintained garden available for residents use, and adequate car parking space within the grounds. The Centre is located on the outskirts of the village of Hothfield, which is located approximately 5 miles from the town of Ashford. The Home has its own transportation and there is a shop and post office within walking distance. Staffing comprises a Registered Manager, Assistant Managers, support staff, a cook, domestic staff, gardeners and an administrator. Hothfield Manor Centre DS0000023445.V250904.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out over approximately 6 hours. Prior to this inspection the home had submitted a pre-inspection questionnaire completed by the registered manager and feedback questionnaires were received from residents’ families. The Inspector toured the building and inspected a number of records, policies and procedures. The Inspector spoke with 3 of the residents, who showed her their accommodation. One of the assistant managers and 3 other members of staff also assisted with the inspection. What the service does well: 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. Hothfield Manor Centre DS0000023445.V250904.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hothfield Manor Centre DS0000023445.V250904.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Residents’ healthcare, social needs and aspirations are assessed and met. EVIDENCE: Whilst no new permanent residents have been admitted since the last announced inspection, there is a sound preadmission assessment procedure with input from the prospective residents, Care Managers, families and other health care professionals. Hothfield Manor Centre DS0000023445.V250904.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 The health, general care and social needs of residents are met and residents are consulted and encouraged to contribute to any decisions that affect their lives. Residents are supported in taking risks in the daily domestic and social activities that are part of an independent lifestyle. EVIDENCE: Although not all of the care plans are in the new format they still include details on short and long term goals and how the home will assist residents in achieving their goals. Residents have key workers who monitor their individual needs and activities, assist with the review process and help them understand the contents of their care plans. Staff referred to the risk assessments which have been prepared and these were seen to include specific issues and guidelines. Hothfield Manor Centre DS0000023445.V250904.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 There are opportunities for personal development and residents have access to a range of activities. Meals in the home are good, offering a healthy, nutritious diet with choice and variety. EVIDENCE: There are a variety of social activities on a daily basis, either on the premises or facilities within the community. Residents said that they do have an opportunity for special days out. The food storage cupboards contained a good range of foods including fresh fruit and vegetables, and the menu record indicated that the food provided is well balanced and beneficial to health. Hothfield Manor Centre DS0000023445.V250904.R01.S.doc Version 5.0 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, and 20 Staff have a good knowledge and understanding of residents’ physical, emotional and support needs and provide this according to residents’ wishes and preferences. The medication administration and storage systems are sound and appropriate to residents’ needs and wishes. EVIDENCE: The care plans include monitoring of residents’ health care needs and the records confirmed that residents are referred for specialist consultations. Staff said that they have received appropriate training in the administering of medication and the records were clear and current. The storage of medication is secure and appropriate. Staff interviewed referred to the importance of offering personal support in such a way as to preserve residents’ rights and maintain their dignity. Hothfield Manor Centre DS0000023445.V250904.R01.S.doc Version 5.0 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The home has a satisfactory complaints process and residents are protected from harm or neglect. The home makes every effort to seek residents’ views. EVIDENCE: Staff said that every effort is made to ensure that residents can communicate their feelings if they are not happy with something and this was also confirmed by feedback from some of the residents’ families. The home has adult abuse procedures in place and staff have received training on adult protection awareness. Hothfield Manor Centre DS0000023445.V250904.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The home provides a clean, safe, well maintained indoor and outdoor environment. Residents live in comfortable, well-decorated bedrooms with their possessions around them. Specialist equipment is provided, including adequate and appropriate washing and toilet facilities. EVIDENCE: All parts of the building were seen to be clean, well maintained, and furnished and decorated to a good standard.. Staff referred to items of furniture in residents’ bedrooms, or other possessions, which residents had been able to bring with them. The home has adequate hoists and specialist equipment available. The Manager and staff showed a good awareness of general health and safety issues. Hothfield Manor Centre DS0000023445.V250904.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34, 35and 36 Residents benefit from a competent, appropriately trained and well supported staff team. Residents are protected by sound recruitment practices. EVIDENCE: The home has a checklist to ensure that CRB, and POVA checks are carried out and references and identification are obtained. All of the staff spoken to said that they enjoy working in the home and that the high level of morale is due to the good support and training. Hothfield Manor Centre DS0000023445.V250904.R01.S.doc Version 5.0 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 The home regularly reviews aspects of its performance, which includes seeking the views of residents, their relatives and staff. The welfare, health and safety of residents are taken seriously. EVIDENCE: The manager said that policies and procedures, including those related to recruitment, training, care practices and health and safety are regularly reviewed. Residents said that they are asked about how they feel about different aspects of the daily management of the home and that they feel free to say what they think. A residents’ representative attends the monthly management meetings and the appropriate section of the minutes of this meeting are issued to residents. Various health and safety checks were recorded, such as fire alarm testing, and risk assessments had been prepared. Hothfield Manor Centre DS0000023445.V250904.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 4 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hothfield Manor Centre Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 x DS0000023445.V250904.R01.S.doc Version 5.0 Page 16 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. 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. Refer to Standard Good Practice Recommendations Hothfield Manor Centre DS0000023445.V250904.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Kent and Medway Area Office 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. 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