Inspection on 23/06/05 for Howlish Hall Care Home

This inspection was carried out on 23rd June 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

Howlish Hall Care Home 21/12/08

Howlish Hall Care Home 22/11/06

Howlish Hall Care Home 18/01/06

Howlish Hall Care Home 18/01/05

Howlish Hall Care Home 05/08/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Howlish Hall Care Home Howlish Lane Coundon, Bishop Auckland Durham DL14 8ED Lead Inspector Bill Drumm Unannounced 23 June 2005 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. Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 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 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 CRH 36 Category(ies) of OP Old age (36) registration, with number PD Physical disability (36) of places TI Terminally ill (36) Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Day Care: One day care attendee over the age of 65 may be accommodated commensurate with the home statement and purpose of function. Physical Disability: Persons with a physical disability over the age of 55 may be accommodated commensurate with the homes statement and purpose of function. Terminal illness: Persons with a terminal illness (palliative care) over the age of 55 may be accommodated commensurate with the homes statement of purpose and function and where appropriately qualified and competent staff are provided. Date of last inspection 18 January 2005 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 B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This un-announced inspection took place on the 23rd June 2005 over 5.5 hours and was carried out as part of the annual inspection process. Six residents who live at the home and four staff members were spoken to during the inspection. No visitor’s to the home were present at the time of the inspection. The communal areas of the building were looked at in addition to a number of the residents’ bedrooms. A number of records were also examined. An extension to the home is also being built and the opportunity was taken at this inspection to check the progress of the building work. What the service does well: What has improved since the last inspection? Since the last inspection the homes’ manager has introduced a formal process for gathering the opinions and thoughts of residents on how to improve the services and facilities offered within the home. The fridge used for storing drugs and medicines was also noted to have fluctuations in temperature outside of acceptable limits. The homes’ owners purchased a new fridge as a matter of urgency. Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 Page 6 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 B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 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 Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 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. New residents are admitted only on the basis of a full assessment undertaken by people trained to do so, and to which the prospective resident or their representative has been included in the process. Including or involving the resident and their representative in the admission process, supports them with making the decision about where they wish to live. EVIDENCE: Individual records are kept for each resident. A number of files were examined and found to contain a copy of care management assessments of need and where appropriate health care assessments. In addition the home also carries out its own pre-admission assessment. Residents spoken with during the inspection could describe having gone through a process of assessment and described it as “a lot of people always asking questions.” Some residents had an understanding of why an assessment had been necessary before they moved into the home. Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 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 and 10. There are clear care-planning systems in place to adequately provide staff with the information they need to satisfactorily meet the residents’ needs. The health needs of residents are well met with evidence of good multidisciplinary working taking place. The systems for the administration of medication are good with clear and comprehensive arrangements in place to ensure residents’ medication needs are met. Personal support is offered in such a way as to promote and protect residents’ privacy, dignity and independence. EVIDENCE: Individual care plans are available and those examined all showed evidence of involvement of the service users or their representative. Resident’s spoken to at the time of the inspection were able to confirm their involvement in this process. Risk assessments had also been carried out for each resident and were fully documented on file. The homes’ owner is currently reviewing and updating the care planning documentation and is considering the use of a Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 Page 10 computer based system to help improve the care planning process. Each resident is registered with a local General Practitioner. Case files also contained evidence of multi-disciplinary working with other health care professional’s including Podiatrist’s, Optician’s and Dentist’s. The home has comprehensive policies and procedures in place for the safe handling and administration of medication and follows the Boots monitored dosage system. A new fridge has been bought for the home for the storage of medication and an examination of the temperature records found them to be consistently within acceptable limits. Resident’s spoken with confirmed that all staff members treat them with dignity and respect. A positive rapport was observed between all staff members on duty and residents. Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 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, 14 and 15. Residents within the home are regularly offered the opportunity to participate in a range of organised recreational activities, which helps to keep them active and prevent boredom. Residents maintain contact with family members and friends who are encouraged to visit the home at any reasonable time. Residents are able to exercise choice and control over their lives. This is promoted by the flexible routines followed within the home. The meals in the home are good offering both choice and variety. EVIDENCE: Discussion with the deputy manager, staff and residents indicated that a, range of activities are offered at the home. The role of activity co-ordinator is currently filled on a part-time basis, although a volunteer from a local college also assists with providing activities. During discussion with the activity coordinator it became apparent that she would benefit from the support of others who undertake a similar role to help generate new ideas for activities and for general peer support. Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 Page 12 Discussions with residents and staff confirmed that visiting times are very flexible and visitors are welcome at all reasonable times. Residents spoke fondly of staff members and how the home is “ a lovely home to be in.” They were also explained how staff encourage them to do more for themselves. Residents also spoke of the food available within the home and described it as “beautiful”. Menus examined were found to offer a variety of different dishes. Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 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 and 18. The home has a satisfactory complaints system with some evidence that residents feel that their views are listened to and acted upon. Staff, were confident in demonstrating an awareness of POVA to ensure the protection of residents living in the home. EVIDENCE: A complaints policy and procedure is in place. There has been one complaint recorded since the last inspection, which was quickly resolved to the satisfaction of all parties. Residents spoken to confirmed that they felt confident that their needs and complaints would be listened to and acted upon. Staff members at the home all receive training in relation to the protection of vulnerable adults (POVA) and during discussion staff were able to demonstrate an awareness of POVA. Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 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 and 26. The standard of the environment within the home is good providing residents with an attractive and homely place to live. The home is clean, pleasant and hygienic for residents. EVIDENCE: All communal areas of the building were inspected and were found to be in a good state of repair. On the day of inspection the dining area of the home was being decorated and new furniture had also been purchased. There is a substantial amount of building work being undertaken at the home with the building of a new extension. Staff and residents confirmed that there had been minimal disruption to the routine of the home whilst this work is being undertaken. The home was observed to be clean and free from any offensive odours. Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 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) 27, 29 and 30. Residents’ needs are met by a full staffing compliment, who posses a range of skills and abilities. The arrangements for the recruitment and induction of staff are good with the staff demonstrating a clear understanding of their roles. Staff, are trained and competent to do their job maintaining the safety and well being of residents. EVIDENCE: The waking day at Howlish Hall is between the hours of 7.00am – 11.00pm. Rosters indicated that 7 staff are on duty at key times during the day, ie. Mornings and a minimum of, 5 staff on duty at other times. During late shifts (4.00pm – 9.00pm) there are always a minimum 5 staff on duty. Domestic and catering duties are, not undertaken by care staff. Residents and staff spoken to at the time of the inspection all felt that the staffing levels within the home were sufficient to meet the needs of all residents. An examination of staff members files confirmed that a thorough recruitment process is followed, which complies with the homes policies and procedures. Evidence was also available to confirm that a structured training programme is in place, which covers a range of care issues as well as mandatory training. Staff members spoken to confirmed that training is offered and is available Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 Page 16 within their working hours. No staff vacancies currently exist at Howlish Hall however recruitment of staff has commenced in time for the new extension being opened and the resident numbers increasing. Staff members undergo a period of induction prior to taking up their duties. The induction process includes instruction on how to get people up in the morning, washed and dressed whilst ensuring their privacy and dignity. Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 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) 33, 35 and 38. The systems for service user consultation in this home are adequate with a variety of evidence that indicates residents’ views are both sought and acted up on. Robust procedures for the safekeeping of residents’ money are in place. Records in general including health and safety are up to date and as far as possible ensure the safety and wellbeing of residents, staff and visitors. EVIDENCE: The activities co-ordinator records her interactions with residents. The information gathered during activities is recorded formally and is used to provide valuable feedback to managers with regard to how the home functions on a day-to-day basis. A quality questionnaire has also been developed and recently introduced, again this provides regular feedback as well as constructive criticism. A review of this document will be undertaken in the near future in order to check on its suitability and effectiveness. Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 Page 18 The home has comprehensive policies and procedures in place for dealing with residents’ finances. The deputy manager was able to demonstrate that as far as reasonably possible the health, safety and welfare of staff, residents and visitor’s to the home are maintained. Records examined confirmed that regular fire drills are carried out and that staff members receive training with regard to fire safety and first aid. Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 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 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 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 x 3 x x 3 x 3 x x 3 Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 Page 20 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. 1. 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. 1. Refer to Standard OP12 Good Practice Recommendations It is recommended that the Activities Co-ordinator employed within the home develops links with the National Association for the Provision of Activities (NAPA). This will enable her to develop links with other Avtivity Coordinators in the area for support and the sharing of ideas. Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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 © 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 Howlish Hall Care Home B54 S721 Howlish Hall V227158 230605 Stage 4.doc Version 1.30 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. 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