Inspection on 01/09/05 for Housteads

This inspection was carried out on 1st September 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Housteads 09/10/07

Housteads 28/08/06

Housteads 26/01/06

Housteads 24/09/04

Housteads 06/04/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Housteads 1 Richmond Park Grove Sheffield South Yorkshire S13 8HX Lead Inspector Janice Griffin Unannounced 1 September 2005 07:10am st 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. Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Housteads Address 1 Richmond Park Grove Sheffield South Yorkshire S13 8HX 0114 2692469 0114 2540903 Not known Sheffcare 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) Ms Martha Buchanan PC - Care Home Only 40 Category(ies) of OP Old age (40) registration, with number of places Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 24th September 2004 Brief Description of the Service: Housteads is a purpose built 40-bed home for older people. It is in a residential area of Sheffield with good access to public services and amenities (e.g. bus services, shops, libraries etc). It is a bungalow type building. All the rooms are single rooms and it has a suitable number of lounges and dining rooms. The gardens are landscaped and it has a large car park. Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place from 7:10 am to 3:15 pm. As part of the inspection process fourteen-service users, four relatives and seven staff, including the manager on duty, were spoken to. A number of records were examined and several areas of the building were inspected. The inspector was pleased to note that throughout the inspection staff interacted positively and sensitively with each service user. The inspector would like to thank service users, relatives, the manager and staff for their commitment to the inspection process. What the service does well: The home is homely, friendly and welcoming. Service users said they liked living at the home where they were well cared for by staff. All areas of the home were clean. Service users were able to visit the home for trial periods and full detailed assessments had been completed prior to their admission. Service users were only admitted once it had been determined that the home could meet their needs and all service users currently living at the home were happy with the arrangements. Each service user had a plan of care that detailed their needs and what the staff had to do to provide the care needed. Health care needs were met and service users received visits from health care professionals e.g. chiropodist, dentist, GP etc. The home had an activities coordinator who worked at the home over a threeday period to provide activities. The service users said they enjoyed the activities provided and the stimulation and company it provided. Meals were thought to be good in the main. There was a complaints procedure that the staff and service users knew about. The person responsible for the home has regular contact with the service users and submits monthly report about the home, which included comments from the service users and staff. There was a quality assurance system, which sought the views of service users, via meetings and a questionnaire. Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.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. Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.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 Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.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) 1,2,3,4 and 5. The home had a detailed service user guide and statement of purpose that clearly provided service users with the necessary information regarding the services and facilities provided by the home. Service users individual needs had been fully assessed prior to their admission, and they had moved into the home once it had been agreed that the home could meet their needs. Service users were able to have informal introductory visits to the home and at the time of their admission and had been provided with a contract containing the relevant information. EVIDENCE: The statement of purpose and service user guide contained all of the required information. Copies were available and the manager confirmed that they would be available in alternative formats should the service users request this. Both documents were explained and read out to service users on a regular basis. Detailed full needs assessments had been completed by the referring social worker for service users recently admitted to the home. Their families had been involved in the assessment process as appropriate. Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.doc Version 1.40 Page 9 The manager on duty confirmed that service users were only admitted to the home once they were sure that they could meet their needs. Service users were able to visit the home for informal visits prior to their admission if they wished. Service users confirmed that this helped them to get to know everyone at the home and made them feel less anxious. Records checked confirmed that service users families had been involved in decisions regarding the arrangements. An up to date contract/statement of terms and conditions had been provided to service users and signed copies were retained on individual files. These clearly detailed the fees, including any extra charges, and the services and facilities provided by the home Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.doc Version 1.40 Page 10 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) 7,9 and 10. Service users had their needs set out in an individual plan of care and their health care needs were fully met. Where appropriate service users were able to administer their own medication. The procedures in place to ensure the safe management of medication need to be improved. Service users said they were treated with respect and that their right to privacy was upheld. EVIDENCE: Service users said they were consulted about their care plans and they knew that the home kept records, which they were able to look at if they wished. Staff said that care plans were reviewed regularly in consultation with other staff, service users and relatives. Systems were in place to ensure the safe administration and recording of medication, however it was noted that two service users MAR sheet had not been signed on one occasion to show whether medication had been given or not. Records were kept of medication received into the home and returned. Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.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 and 14. Service users were able to have social contact; activities took place both inside and outside of the home. They were able to maintain contact with family and friends and representatives of the community if they wished. Service uses were helped to make choices and to have control over their lives. EVIDENCE: Service users, relatives and staff confirmed that the activities co-ordinator ensured that service users were regularly supported with their leisure and social needs. A programme of the daily leisure activities was displayed on the notice board. This allows service users to have a clear understanding of what activities are on offer. Service users said the staff provided them with a variety of activities and outings to occupy their time. Staff confirmed this. Service users confirmed that the routines of daily living were flexible and suited their individual preferences. They also said they were able to see visitors in private and that visitors were made welcome, encouraging the maintenance of contact with family and friend, which creates a home that people want to visit. Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.doc Version 1.40 Page 12 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 and 18 The homes complaints procedure was clear, accessible and contained all the necessary information. Staff had a good understanding of the procedure and timescales involved. Service users were aware that they could complain. The complaints record was available within the home. The homes policies and procedures protected service users from abuse. EVIDENCE: The complaints procedure was available for service users, their relatives and staff. Service users said that they knew that they could complain if they were not happy about anything and that they felt able to discuss any issues or concerns that they may have with the manager and staff. They confirmed that staff were always available and that they were encouraged to talk about anything that troubled them or caused them anxiety. Service user meetings were held regularly and minor issues were discussed, and the appropriate action taken, before the issues had chance to develop into more serious concerns. The complaints record confirmed that no complaints had been made since the last inspection. Staff had received formal adult protection training. This helps to ensure that service users are protected from abuse. Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.doc Version 1.40 Page 13 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 and 26. The location and layout of the home is suitable for its stated purpose and the service users said they felt safe. Service users bedrooms met individual’s needs in a comfortable and homely way. The home was generally clean. Some areas of the building were in need of redecoration and some windows at the home need replacing. Some easy chairs need cleaning and some pillows need replacing. EVIDENCE: Service users said that the home was always clean; this they said made them feel safe because the home was well looked after by the staff group. Some areas had damaged decoration. The bedroom doors were fitted with suitable door locks and lockable facilities were provided in all the bedrooms. Service users had been provided with a key to their room door. The service users spoken to were happy with most aspects of their room, however they said that the bedroom windows let a lot of cold in during the winter months. One pillow was noted to be badly stained. Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.doc Version 1.40 Page 14 Lounges and dining rooms were homely and attractively decorated and furnished, however some of the easy chairs were stained in parts. Service users could choose to meet with their visitors in these rooms or in the privacy of their own bedroom. Service users could smoke in a designated smoking area. The appropriate seating had been provided in the garden for those service users wishing to sit outdoors whenever the weather permitted. Each floor had a number of toilets and bathrooms provided as required, one bath was not working. Toilets were easily accessible as they were close to lounge and dining areas. Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.doc Version 1.40 Page 15 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 and 30. Service users spoken to said that staff were kind and helpful. The home had a staff training and development plan and all staff had completed a range of training relevant to their role. EVIDENCE: The homes induction programme met required standard and staff spoken to said it covered such things as safe working practices, the organisation and workers role and the needs of the service user group. This ensures that the service users are in safe hands at all times. Training needs of care staff were identified via supervision and appraisal sessions. Staff had completed training on NVQ in care and this had ensured that more than 50 of the staff team were qualified to level 2. Staff spoken to confirmed they receive much more than three days paid training, this demonstrates the provider’s commitment to investing in the staff. Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.doc Version 1.40 Page 16 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) 31,32,33,36,37 and 38. Service users benefited from a home that is well run by the manager. Service user surveys had been completed and service users had regular opportunities to discuss and feedback their views of the service provided by the home. Records were in the main up to date and well organised. The homes policies and procedures met the required standards. A safe environment was not provided in all parts of the home and some health and safety issues need to be checked out EVIDENCE: The manager had a job description that clearly defined her roles and responsibilities and staff were aware of her role. Staff and service users said that she was committed to ensuring that the home maintains and develops high standards of care, she had completed regular internal audits on all aspects of the service provided by the home. Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.doc Version 1.40 Page 17 Service users confirmed that they could see the manager when they wished and they said that she was very approachable and supportive. Records were securely stored as required and those checked were accurate and up to date and in good order. The responsible individual was visiting the home on a regular basis and talking to service users, a report was written following the visit. This allows the provider to ensure that the home is run in the best interest of the service users. There was a quality assurance system, which sought the views of service users. Service user meetings took place regularly at the home. Service users said this made them feel involved in the running of the home and that they could influence the quality of the care offered. Staff spoken to had an understanding of the home’s fire procedures; they had received training on moving and handling, food safety and infection control. The manager on duty stated that there was a programme for the regular servicing and maintenance of all appliances. No fire exits were blocked but hazardous substances were noted to be insecurely stored, this does not maintain the service users safety. The containers housing cleaning fluids did not contain any information on safe storage and the staff interviewed could not gain access to the office the safety instructions were kept in. A fire officer had visited the home in April 2004 and several requirements were made following his visit, the manager on duty was not clear whether the requirements had been actioned or not. The fire officer was asked by the inspector to re-visit the home on the 2nd of September 05 to undertake a further inspection. Staff on duty expressed concern about the safety practise of some contract cleaners, they said that when they mop communal areas the floors were like swimming pools, wet floor signs are not used by the contract cleaners and electric wires were left trailing across floors this the staff thought was a trip hazard for staff and service users. This does not maintain the service users safety. Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.doc Version 1.40 Page 18 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 2 3 2 x 2 2 3 3 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 x 3 3 3 3 x x 3 3 1 Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.doc Version 1.40 Page 19 Are there any outstanding requirements from the last inspection? yes 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 19 Regulation 23 Requirement The windows at the home should be replaced with ones of a more modern design which fully close. All areas around the building with stained damaged decoration must be redecorated. MAR sheets must always be signed to show whether medication has be given or not. The broken bath must be repaired or replaced. Stained pillows must be washed or replaced. Hazardous sustances must be kept in a secure place at all times.Safety instruction for the safe storage of hazardous substances need to be available to staff at all times. Requirements made by the fire officer must be actioned within the timescales stated by him/her. The manager must ensure that the contract cleaners work practices do not creat a potential risk to service users safety. Timescale for action 1/12/05 2. 3. 4. 5. 6. 19 9 21 24 38 23 13 23 16 12 1/12/05 Immediate 1/11/05 1/10/05 Immediate 7. 38 23 Immediate 8. 38 12 1/11/05 Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.doc Version 1.40 Page 20 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 None Good Practice Recommendations Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield, S9 2LR 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 Housteads J55 S2975 Housteads V247175 010905 UI Stage 4.doc Version 1.40 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. 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!