This inspection was carried out on 18th January 2006.
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.
CARE HOMES FOR OLDER PEOPLE
Howlish Hall Care Home Howlish Lane Coundon Bishop Auckland Durham DL14 8ED Lead Inspector
Bridgit Stockton Unannounced Inspection 18th January 2006 09:30 X10015.doc Version 1.40 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 Howlish Hall Care Home DS0000000721.V286974.R01.S.doc Version 5.1 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 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. Howlish Hall Care Home DS0000000721.V286974.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Howlish Hall Care Home Address Howlish Lane Coundon Bishop Auckland Durham DL14 8ED 01388 609226 01388 606871 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) Williams & Spenceley Limited Mrs Joyce Spenceley Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50), Physical disability (50), Terminally ill (50) of places Howlish Hall Care Home DS0000000721.V286974.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. Day Care: Three day care attendee over the age of 65 may be accommodated commensurate with the home`s Statement of Purpose. Physical Disability: Persons with a physical disability over the age of 55 may be accommodated commensurate with the home`s Statement of Purpose. Terminal illness: Persons with a terminal illness (palliative care) over the age of 55 may be accommodated commensurate with the home`s Statement of Purpose and where appropriately qualified and competent staff are provided. 23rd June 2005 Date of last inspection Brief Description of the Service: Howlish Hall is a Grade 2 listed building which dates back to the early 17th Century. The home provides 24hr personal care with nursing for older people. It is situated in 2.5 acres of landscaped gardens near to Coundon in County Durham. A frequent bus service is available which provides links to the local towns of Coundon and Bishop Auckland.Accomodation at the home is provided over two floors, with a mixture of single and double rooms none of which are en-suite. There are a sufficient number of bathrooms and toilets to meet the needs of residents who live there. In addition there is a choice of lounges and one main dining room.At the time of the inspection Howlish Hall was in the process of being extended and building work had commenced on the construction of a two-storey extension. Once complete a further 17 bedrooms will have been added all of which will be en-suite. There will also be an increase in the number of toilets, bathrooms and communal areas for use by residents. Howlish Hall Care Home DS0000000721.V286974.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was carried out over a period of 4 hours on the 18th January 2006. The home did not know the inspection was going to take place. The plan for the inspection was to check whether the home had implemented the recommendations made at the previous inspection; to talk with the residents about living in the home; to meet with care staff and the home’s management team; and to look at records. 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. Howlish Hall Care Home DS0000000721.V286974.R01.S.doc Version 5.1 Page 6 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 Outcomes Statutory Requirements Identified During the Inspection Howlish Hall Care Home DS0000000721.V286974.R01.S.doc Version 5.1 Page 7 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 the following standard(s): None of these outcomes were inspected on this occasion EVIDENCE: Howlish Hall Care Home DS0000000721.V286974.R01.S.doc Version 5.1 Page 8 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 the following standard(s): Good systems are in place to ensure that the assessed needs of service users are met. Service users can be confident that their privacy and dignity is protected and that they are treated with respect. EVIDENCE: A service user plan has been developed for each service user that identifies needs associated with health and personal care. This ensures that staff are clear about what is required of them in meeting a service user’s needs. The care plans of four residents were inspected they were comprehensive and well written. Careful and thoughtful strategies to address particular needs or problems of some service users were well documented and sensitively written. Risk assessments on the use of bed rails and moving and handling of service users were included in the care plans, these had been reviewed at least monthly. Howlish Hall Care Home DS0000000721.V286974.R01.S.doc Version 5.1 Page 9 There was evidence of involvement of specialist healthcare people such as the community psychiatric nurse, the dietician and continence nurse. During the inspection staff were very concerned about a resident who was very poorly. They were very supportive with the resident ensuring that privacy and dignity were maintained, and that the resident’s wishes were carried out in relation as to how they wanted to be looked after. Howlish Hall Care Home DS0000000721.V286974.R01.S.doc Version 5.1 Page 10 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 the following standard(s): Flexible visiting arrangements allow the residents to maintain good and regular contact with family and friends. Residents living at the home are supported to have choice and control over how they choose to live. EVIDENCE: Residents confirmed that they could have as many visitors as they like and at any time they choose. People spoken to follow their own hobbies and participate in activities according to their wishes. The activities organiser is part time, and an assistant has just been appointed to help with activities at the home, this will benefit the residents. The activity coordinator confirmed that residents liked participating in group activities, and that time was also set aside for individual sessions between her and some of the residents. Photograph albums of pictures of activities that have taken place were available, and on display. Since the last inspection contact has been made with an association specifically for activity coordinators in which they can share information in the local area and gain peer support. One resident was just finishing a late breakfast she said she had just got up after having ‘a sleep in’. Another resident said that she could get up and go to bed whenever she liked and staff were “always willing to help”. Howlish Hall Care Home DS0000000721.V286974.R01.S.doc Version 5.1 Page 11 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 the following standard(s): None of these outcomes were assessed on this occasion EVIDENCE: Howlish Hall Care Home DS0000000721.V286974.R01.S.doc Version 5.1 Page 12 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 the following standard(s): The standard of the environment within the home is good providing residents with an attractive and homely place to live. EVIDENCE: A new seventeen bedded extension has now been completed at the home. It has been finished to an extremely high standard. All of the bedrooms in this area have en-suite facilities. In addition there is a lovely communal lounge area which overlooks the gardens. This area, along with the original home was exceptionally clean. Only the bedrooms and bathrooms in the new extension and all communal areas were inspected on this occasion. Residents said they felt very comfortable one service user said, “It’s home from home” Howlish Hall Care Home DS0000000721.V286974.R01.S.doc Version 5.1 Page 13 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these outcomes were inspected on this occasion EVIDENCE: Howlish Hall Care Home DS0000000721.V286974.R01.S.doc Version 5.1 Page 14 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these outcomes were inspected on this occasion EVIDENCE: Howlish Hall Care Home DS0000000721.V286974.R01.S.doc Version 5.1 Page 15 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Howlish Hall Care Home DS0000000721.V286974.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? No 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 Howlish Hall Care Home DS0000000721.V286974.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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