Inspection on 14/06/05 for Hunter Hall

This inspection was carried out on 14th 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

Hunter Hall 26/08/09

Hunter Hall 10/03/09

Hunter Hall 23/10/08

Hunter Hall 08/04/08

Hunter Hall 10/04/07

Hunter Hall 17/07/06

Hunter Hall 26/09/05

Hunter Hall 22/02/05

Hunter Hall 26/07/04

Hunter Hall 16/02/04

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

CARE HOMES FOR OLDER PEOPLE Hunter Hall Kent Avenue Wallsend Tyne & Wear NE28 0JE Lead Inspector Ian Armstrong Announced 14 June 2005 09:30 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. Hunter Hall B53_B03 S28817_HunterHall_V218417_140605Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hunter Hall Address Kent Avenue Wallsend Tyne & Wear NE28 0JE 0191 263 9436 0191 262 3633 hunter.hall@fshc.co.uk Tamaris Healthcare (England) 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) Mrs Valerie Appleby CRH 46 Category(ies) of DE - Dementia (1) registration, with number DE(E) - Dementia over 65 (45) of places Hunter Hall B53_B03 S28817_HunterHall_V218417_140605Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 22 February 2005 Brief Description of the Service: Hunter Hall is a care home with nursing. Providing care for 46 older people with enduring mental health problems. The home is owned and managed by Four Seasons Healthcare Ltd a large national provider of care services. Care in the home is provided by Registered Mental Nurses supported by care staff. The home is situated in Wallsend in North Tyneside close to local shops and public transport links. The building is comprised of two floors with 46 single bedrooms all with ensuite facilities. There is also on each floor additional toilets and bathroom facilities. Each floor of the home has separate lounge and dining room areas. There are separate kitchen and laundry facilities. To the rear of the building there is a garden and patio area. Hunter Hall B53_B03 S28817_HunterHall_V218417_140605Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over six hours and was announced. The inspector looked round some parts of the building and grounds. A number of the homes records were inspected. Eight of the residents, five of the staff and three visitors were spoken to. 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. Hunter Hall B53_B03 S28817_HunterHall_V218417_140605Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Hunter Hall B53_B03 S28817_HunterHall_V218417_140605Stage 4.doc Version 1.40 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 standard(s) 1, 2, 3, 5. Service users have the information they need to make an informed choice about the home. Each service user has a written contract stating their conditions of stay in the home. Service user needs are assessed prior to admission. Service users and their relatives have the opportunity to visit to assess the quality, facilities and suitability of the home. EVIDENCE: The service users guide and statement of purpose documents providing information about the home were of a good standard. Resident contracts were found to be satisfactory. Service user pre-admissions assessments were good. Evidence of relatives visiting the home prior to the service users admission was documented. Hunter Hall B53_B03 S28817_HunterHall_V218417_140605Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9, 10. The service users health, personal and social care needs are not all set out in appropriate individual plans of care. Service users health care needs are being met. Service users are protected by the homes policies and procedures for dealing with medicines. Service users are treated with respect and their right to privacy is upheld. EVIDENCE: Four residents care records were inspected. In all four, social care plans were generalised and not comprehensive. A number of care records had not been dated and signed. Documented arrangements for GP, Dental, Optical and Chiropody services were found to be satisfactory. The systems for the ordering, administration, storage and disposal of medications were checked and found to be satisfactory. A number of residents were spoken with and those that were capable said staff treated them with respect. The gender of staff for personal care needs was documented in resident records. Hunter Hall B53_B03 S28817_HunterHall_V218417_140605Stage 4.doc Version 1.40 Page 9 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, 15. Service users lifestyles experienced in the home does not fully match their expectations and preferences. Neither does it fully satisfy their social and recreational interests and needs. Service users maintain contact with family and friends. Service users are helped to exercise choice and control in their lives. Service user diets could be improved upon. EVIDENCE: The homes weekly activities programme was inspected. This currently does not show enough variety and number of events taking place. The home has an open visiting policy with no restrictions, this was satisfactory. Documented evidence showed that residents were encouraged to choose what clothes to wear each day. Residents food choices, currently the homes Cook does not keep records of these. Menus were inspected, these need to specify choice of sweet for the main meals each day. Sandwich fillings need to be stated. Some supper time meals should offer hot food. Residents records showed evidence of flexible rising and retiring times. Records state the gender of staff for personal care tasks and residents wishes are respected. Hunter Hall B53_B03 S28817_HunterHall_V218417_140605Stage 4.doc Version 1.40 Page 10 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, 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: The homes POVA policy was seen and was very comprehensive. The company Complaints policy was checked, this was a well written document. Since the last inspection visit there have been no complaints received by the home. Hunter Hall B53_B03 S28817_HunterHall_V218417_140605Stage 4.doc Version 1.40 Page 11 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, 26. Service users generally live in a safe, well maintained environment. However some work identified in this report is needed to be carried out. Service users have access to safe and comfortable indoor and outdoor communal facilities. There are sufficient and suitable lavatory and washing facilities. Service user bedrooms are in the main satisfactory. Service users generally live in safe comfortable surroundings, which are clean and hygienic. EVIDENCE: The main entrance doors to the home, the varnish to these is worn and faded. The brass fittings to the doors need to be replaced as these are also faded and worn. Clinical waste bins in a storage area to the front of the home were found to be unlocked. A grass strip to the side of the home was overgrown with weeds. A number of resident bedrooms were visited and generally furnishings and decoration of these were found to be good. The bedroom door numbered 15, the lock to this had been repositioned leaving a hole in the door where the old lock had been. En-suite facilities had no shelves for resident toiletries. The upstairs bedroom number 28 had water ceiling damage. The lounges and dining-room areas were nicely decorated with one exception the Hunter Hall B53_B03 S28817_HunterHall_V218417_140605Stage 4.doc Version 1.40 Page 12 downstairs dining-room needs redecoration. The kitchen area was inspected this was found to be clean, cleaning schedules were being properly maintained. The laundry facility, one washing machine here had been out of working order for three months. A nice patio and garden area to the rear of the home was well maintained. Hunter Hall B53_B03 S28817_HunterHall_V218417_140605Stage 4.doc Version 1.40 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 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) Service users needs are met by adequate numbers and skill mix of staff. The homes recruitment procedures need to be improved upon. Staff are generally well trained and competent to do their jobs. However some work is needed in certain areas of training. EVIDENCE: Staff duty rosters showed the following levels of staff employed in the home each day; a.m. 2 qualified, 6 care staff, p.m. 2 qualified, 6 care staff, nights, 1 qualified, 3 care staff. These staffing levels are in line with the assessed needs of the service users. Two recently recruited staff records were inspected. In one of these there was no written references, all other checks had been properly carried out. All staff in the home receive annual appraisals and two monthly supervision records were checked and are satisfactory. Statutory training records were satisfactory with the exception of Fire training. More professional update training is needed for qualified staff employed. Hunter Hall B53_B03 S28817_HunterHall_V218417_140605Stage 4.doc Version 1.40 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 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) The home is generally run in the best interests of service users. Service users financial interests need to be better protected. The health, safety and welfare of service users and staff are generally promoted and protected. However some work is needed in certain areas to improve. EVIDENCE: Service users that were spoken with said staff in the home were good and looked after them very well. Service users financial records were checked, transactions showed evidence of regular expenditure with balances kept. However only one staff signature was recorded for all transactions. The home has a Health and Safety audit committee. This group is said to meet every three months, records however showed the meetings to be taking place less frequently. Staff meeting records were found to be satisfactory. Relative meetings the last recorded evidence of these took place in January 04. Hunter Hall B53_B03 S28817_HunterHall_V218417_140605Stage 4.doc Version 1.40 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 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 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 2 3 3 x 3 2 3 2 STAFFING Standard No Score 27 3 28 x 29 2 30 2 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 3 2 3 x 2 Hunter Hall B53_B03 S28817_HunterHall_V218417_140605Stage 4.doc Version 1.40 Page 16 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard 7 12 Regulation 15 16.2(n) Requirement A written individual social care plan is needed for all residents in the home. The weekly activities programme for residents needs to be further developed. To include a greater variety of events for the residents. Menus for residents need to be further developed in those areas identified in this report. That work identified in this report be carried out. Shelving must be provided in all residents ensuite facilities. Two written references must be obtained for all new staff. All staff must have in-house fire training at the frequency specified in the fire log book. The washing machine that is not working must be repaired. Clinical waste bins must be kept locked at all times. Timescale for action 31/08/05 31/08/05 3. 4. 5. 6. 7. 8. 9. 15 19 24 29 30 26 26 16.2(i) 23.2(b) 23.2(e) 19.2(c) 23.4(d) 23.2(e) 16.2(k) 30/08/05 30/08/05 31/09/05 24/05/05 30/08/05 31/07/05 24/05/05 Hunter Hall B53_B03 S28817_HunterHall_V218417_140605Stage 4.doc Version 1.40 Page 17 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. 2. Refer to Standard 35 38 Good Practice Recommendations Residents financial records should have two staff signatories for all transactions. Relative meetings should take place more frequently. Relative questionnaires should be sent out twice yearly to seek feedback about services provided. Hunter Hall B53_B03 S28817_HunterHall_V218417_140605Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Hunter Hall B53_B03 S28817_HunterHall_V218417_140605Stage 4.doc Version 1.40 Page 19 - 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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