Inspection on 03/07/07 for Hundens Park Care Home

This inspection was carried out on 3rd July 2007.

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

Hundens Park Care Home 16/12/08

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 Hundens Park Care Home Hunden`s Lane Darlington Co Durham DL1 1JF Lead Inspector Bridgit Stockton Unannounced Inspection 3rd July 2007 13:30 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 Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 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. Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hundens Park Care Home Address Hunden`s Lane Darlington Co Durham DL1 1JF 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) 01325 366000 hundens@barchester.com Barchester Healthcare Homes Ltd Position Vacant Care Home 61 Category(ies) of Old age, not falling within any other category registration, with number (61), Physical disability (5) of places Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places: 61 2. Physical Disability - Code PD, maximum number of places: 5 The maximum number of service users who can be accommodated is: 61 Date of last inspection Brief Description of the Service: Hundens Park is a care home providing both nursing and personal care to sixty one older people. The home is located In a residential area on the outskirts of Darlington. The home is on a regular bus route into the centre of Darlington. Accommodation is provided over two floors that are serviced by a lift with stair access as well. It is a purpose built home with spacious communal areas with all bedrooms having en suite facilities. Assisted bathrooms and showers are available on both floors. The home is set in pleasant grounds and the first floor has a balcony area for people to use if they wish to sit outside. Barchester Health Care owns the home. Fees range from £334.00 to £383.40 per week; this does not include hairdressing, newspapers or toiletries. Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over a period of 7 hours on the 3rd and 4th of July 2007. 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 requirements and recommendations made at the previous inspection; to talk with the people about living in the home; to meet with care staff and the home’s management team; and to look at records. The manager had completed a questionnaire about the home prior to this visit. Also people who use or who are involved with the service had also returned some survey forms. Some of this information has been included within this report. What the service does well: What has improved since the last inspection? The manager and staff team have worked very hard since the last inspection and improvements have been made in several areas. The recording in care plans is clearer and staff have written guidance on how to meet people diverse and individual needs. Risk assessments are contained in peoples plans of care and give good clear directives to staff on how to risk manage people in there care. Information held about staff and the way in which staff training is recorded has been improved and up to date records are kept on staff supervision sessions that are now being held on a regular basis. Several areas of the home have been redecorated and refurbished. The garden at the home was lovely. New seating has been placed in a secluded area at the back of the home and there is also a fountain and pond. Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3&6 Quality in this outcome area is good. People can be assured that their needs are appropriately assessed prior to admission to the home and that they are given sufficient information to make an informed choice before moving into the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s Statement of Purpose and Service User Guide have been updated. These guides contain information that is required to enable people to make an informed choice about where to live. Evidence was seen that service users or their representatives have signed a contract with the home. The contracts were detailed and included a breakdown of the fees and who was responsible for paying them. The manager confirmed that a visit to prospective clients always takes place before their admission to the home, to carry out an assessment of needs. Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 Page 9 Four care plans examined contained notes from assessments made on these visits. Also, each care plan looked at contained assessments from the placing authority that were responsible for commissioning people’s care at the home. 75 of the surveys returned stated that they had been given sufficient information about the home before moving into it. One relative said ‘we were made to feel very welcome when we came to look around. We were introduced to the staff on duty and felt very at ease in the place, I had no doubt this was a good care home’. The home does not provide intermediate care. Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. Good systems are in place to ensure that health care needs of the people are met. People can be confident that their privacy and dignity is protected and that they are treated with respect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A new system for recording how people are cared for has just commenced at the home. The new care plans gave clear instructions to staff on how to meet people’s diverse needs. During the inspection people said they were aware of the documentation used regarding how care was given, most of the care plans had been signed and agreed either by the person receiving the care or else by a relative or representative. The plans need to be kept under constant review by all staff and this must be monitored by the manager. During the inspection several district nurses visited the home, and care plans indicated that people had access to other health care professionals such as the community psychiatric nurse, opticians and chiropodists. One person wrote ‘my G.P. has attended at my request for simple problems’ Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 Page 11 The medication administration records were inspected. They were completed properly. Stock checked against the balance on the medication record was correct. Policies and procedures were in place regarding medication, the staff on duty were knowledgeable about these. Staff were seen to be treating people with respect and dignity and this was also reflected within the care plans. Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. The recreational and social needs of people are well catered for which enables people to make daily choices and promotes independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was good practice relating to the promotion of independence and social contact with people outside the home. An activities organiser is employed at the home and there was a varied range of activities offered. People were able choose whether or not they wish to be involved. Trips to local pubs for lunch are organised, outside entertainers visit the home and craft activities also take place. One person explained that they had been out the previous evening to the local bingo hall and had a really good time. Another person said they had really enjoyed making lavender bags for the summer fate. Several people commented on the food during the inspection and said that the food was good. Observation of the lunchtime meal provided evidence that people were able to make choices about the meals they wished to eat. One service user said the food was ‘great’ another said ‘you get a nice choice of meals, you can have a glass of wine or beer as well. I’m not easy to please where food is concerned, but this is top notch’ Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16&18 Quality in this outcome area is good. Service users can be confidant that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are adequate written policies and procedures in place to deal with complaints and the care staff spoken to confirm they were aware of these. Staff knowledge of these help ensure that they were able to address any issues or anxieties of the residents, relatives and visitors to the home. One person wrote ‘ I have never, to date been unhappy about anything in the home, but I do know whom to approach if I needed to complain’ Staff training has taken place in the protection of vulnerable adults in abuse. Staff recruitment procedures were adequate and staff were employed and deployed following appropriate CRB and POVA checks. The manager and staff team were clear and confident in the protection of vulnerable adult procedures Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19&26 Quality in this outcome area is good The home was clean, comfortable and well-maintained providing service users with a safe and pleasant environment This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the inspection the home was nice and clean and fresh. The communal areas were bright, spacious and nicely decorated. One person wrote, ‘I am very lucky to be living in such a nice pleasant home’. Another said ’I like to see the fresh flowers even the small vases in the dining room make the place look really nice’. Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 Page 15 The gardens at the home were pleasant and well kept. Staff had recently planted patio tubs with summer plants, and transformed the area at the back of the home into a secluded seating area with new patio furniture and sun umbrellas. Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Service user can be confident that staff are trained and on duty in sufficient numbers to meet their assessed needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff training records were being updated. There was evidence of on going training for staff in such things as moving and handling of service users, fire awareness and prevention of falls, and the protection of vulnerable adults. The staff have available a training computer which they can access for training information. External training in care is also sourced for staff. All trained nurses are supported in keeping up dated with current nursing practice, in accordance with the Nursing and Midwifery Council. From the rota supplied at the inspection and from information in pre inspection questionnaire there was sufficient care staff on duty to meet the assessed needs of the people who were using the service. People said that staff were always around and answered the call bells quickly. One person said ‘the staff are kind and helpful’. Another said ‘I always get immediate attention.’ Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 &38 Quality in this outcome area is good. Service users can be confident that the home is well managed. Systems and safeguards are in place to ensure the health, safety and welfare of service users and staff is protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home is experienced in managing a care service. There was an open, friendly culture between the management team and the staff at the home, and staff said they felt very well supported in their work. People said that the manager was very approachable and they would go to her or any of the staff if they had any concerns. A service satisfaction questionnaire is also used within the home, some of these are sent to service users families and visitors, the results of these are available at the home. Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 Page 18 The records regarding administration of residents’ personal allowances were inspected. All transactions are recorded correctly and receipts are kept. The homes health and safety file was examined; all equipment in the home is regularly checked with valid certificates issued. There are no outstanding issues from environmental health inspections or the fire and rescue services. Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A 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 Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 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. 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 Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Hundens Park Care Home DS0000069208.V343268.R01.S.doc Version 5.2 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. 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